[Selective surgical treatment in hemorrhages from gastric and duodenal ulcers. The surgical procedure and methods]

This is a study on 446 patients presenting bleeding gastric ulcers (95) and bleeding duodenal ulcers (351), 314 men and 132 women, covering the period 1985 through 1991. The length of hospitalization of those admitted as inpatients is comparatively assayed with the operative activity and lethality indicators, and on the ground of the obtained results the contingent at risk is identified. The symptoms of the disease are grouped in leading syndromes characteristic of the nosological entity. Based on the same criteria, the prognostic and risk factors are outlined, and accordingly patients admitted with bleeding ulcers are assigned under the heading risk groups which contributes to the early selection of patients. The latter in turn defines both the indications and terms of undertaking the operative intervention. Proceeding from personal experience to date, early selection and operative management using organ-preserving and organ-sparing methods are recommended.