Les resultats du traitement chirurgical de l'hemorragie gastro-duodenale. [Results of the surgical treatment of gastroduodenal hemorrhage]

Details

Serval ID
serval:BIB_A2463C0AAD14
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Les resultats du traitement chirurgical de l'hemorragie gastro-duodenale. [Results of the surgical treatment of gastroduodenal hemorrhage]
Journal
Schweizerische Medizinische Wochenschrift
Author(s)
Demartines  N., Rothenbuhler  J. M., Chevalley  J. P., Harder  F.
ISSN
0036-7672 (Print)
Publication state
Published
Issued date
06/1991
Volume
121
Number
22
Pages
839-42
Notes
English Abstract
Journal Article --- Old month value: Jun 1
Abstract
383 operations for peptic ulcer were performed between 1984 and 1989. There were 114 operations for hemorrhage. The average age of patients was 65 years (21 to 90). 93% of our patients underwent preoperative endoscopy. 52.6% underwent emergency surgery whereas 47.4% had early elective operation. 91.1% of all patients underwent surgery with curative intention for peptic disease in the form of a highly selective vagotomy or partial gastrectomy. The overall mortality rate of 13.2% was influenced by age (less than 70 years: 6.5% / greater than 70 years: 20.4%), by localization of ulcer (stomach: 7%/duodenum: 16%), by time of operation (emergency: 22%/early elective: 6.3%) and by number of blood transfusions (less than 5 units: 7.7% / greater than 5 units: 21%). We conclude that bleeding gastroduodenal ulcers remain a significant complication of peptic ulcer disease. Only a multidisciplinary approach to gastroduodenal hemorrhage, including stabilization of vital functions, endoscopic hemostasis and early elective operation, will contribute to a reduction of mortality.
Keywords
Adult Age Factors Aged Aged, 80 and over Blood Transfusion Endoscopy, Gastrointestinal Female Gastrectomy/methods Humans Male Middle Aged Patient Care Team Peptic Ulcer Hemorrhage/mortality/*surgery Peptic Ulcer Perforation/*surgery Retrospective Studies Vagotomy, Proximal Gastric
Pubmed
Web of science
Create date
28/01/2008 8:53
Last modification date
20/08/2019 15:08
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