Surgical management of bleeding gastric ulceration
作者:
P. N. Rogers,
W. R. Murray,
R. Shaw,
S. Brar,
期刊:
British Journal of Surgery
(WILEY Available online 1988)
卷期:
Volume 75,
issue 1
页码: 16-17
ISSN:0007-1323
年代: 1988
DOI:10.1002/bjs.1800750107
出版商: John Wiley&Sons, Ltd.
关键词: Gastrectomy;peptic ulcer haemorrhage;vagotomy
数据来源: WILEY
摘要:
AbstractIn a nine‐year period from 1977 to 1985 sixty‐one patients underwent surgery for bleeding gastric ulceration in the Western Infirmary, Glasgow. Nineteen patients were treated by partial gastrectomy, twenty‐two had undersewing of the ulcer plus vagotomy and drainage and twenty had undersewing alone. Mortality in the three groups was 26, 45 and 10 per cent respectively. All groups of patients were similar in terms of age, severity of haemorrhage, delay before surgery and grade of surgeon performing the procedure. Out‐patient follow‐up (mean: 37 months) of patients treated by undersewing alone revealed that 73 per cent were symptom free. Treatment of bleeding gastric ulceration by undersewing alone is effective and should be considered in patients who requir
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