La maladie ulcereuse gastro-duodenale: que reste-t-il des indications chirurgicales? [Gastroduodenal ulcer disease: what surgical indications are left?]

Details

Serval ID
serval:BIB_63D52E568CD1
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
La maladie ulcereuse gastro-duodenale: que reste-t-il des indications chirurgicales? [Gastroduodenal ulcer disease: what surgical indications are left?]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Cuttat  J. F., Ruchat  P., Chapuis  G.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
05/1989
Volume
119
Number
21
Pages
729-30
Notes
English Abstract
Journal Article --- Old month value: May 27
Abstract
Between 1976, date of the introduction of anti-H2, and 1987, 716 patients were hospitalized and operated on for ulcer disease in the surgical department of this hospital. The present study shows that 1. the annual number of operations has regressed by some 30%, 2. while the number of gastric ulcers remains constant on the whole, cases of acute duodenal ulcer have diminished by half, 3. cases of chronic, recurrent, or therapy-resistent duodenal ulcer have increased some tenfold (2 out of 78 in 1976 and 14 out of 45 in 1987), 4. the same is true of perforated ulcers (12 out of 78 in 1976 and 10 out of 45 in 1987) and hemorrhages (12 out of 78 and 10 out of 45), 5. surgery for stenosis has remained constant. -Proximal selective vagotomy has been the treatment of choice since 1981 in over 80% of duodenal ulcers. Operative mortality affects only elderly patients undergoing emergency surgery for complicated ulcer (two thirds perforations, one third hemorrhages). It is 2.6%. We thus confirm the reduced role of surgery in the treatment of gastric ulcer, while redefining the present surgical indications.
Keywords
Aged Histamine H2 Antagonists/therapeutic use Humans Middle Aged Peptic Ulcer/drug therapy/*surgery Peptic Ulcer Hemorrhage/surgery Peptic Ulcer Perforation/surgery Prognosis Recurrence
Pubmed
Web of science
Create date
28/01/2008 9:39
Last modification date
20/08/2019 14:20
Usage data