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  • Title: [Various special problems of the treatment of acute peptic ulcer- induced gastrointestinal hemorrhage].
    Author: Kurygin AA, Baranchuk VN.
    Journal: Vestn Khir Im I I Grek; 1989 May; 142(5):12-5. PubMed ID: 2800200.
    Abstract:
    The work has analyzed an experience with the treatment of 1336 patients with acute gastrointestinal bleedings of ulcerous etiology, 799 of them were operated upon. All the surgical interventions were divided into 3 categories: emergency operations (immediately after admission of the patient), delayed (within 24 hs) and planned operations (3 weeks later). Operative lethality was 5.2%, 11% and 1.8% correspondingly. Heavy blood loss was most frequent in gastric ulcer (37%) and retrobulbar ulcer of the duodenum (30%), less frequent in ulcer of the duodenum bulb (6.7%) and prepyloric ulcer (4.4%). Urgent fibrogastroscopy was used not only as a diagnostic method, but also as an attempt to control bleeding. Truncular vagotomy with draining operations are thought to be preferable for duodenal ulcers, for gastric ulcer--it is resection of the organ.
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