Has There Been a Decrease in the Incidence of Uncomplicated Gastroduodenal Peptic Ulcer Surgery?
作者:
R. Robles Campos,
P. Parrilla Paricio,
J.A. Luján Mompeán,
J. Cifuentes Tebar,
J. García Ayllón,
J.L. Aguayo Albasini,
M.A. Ortiz Escandell,
期刊:
Digestive Surgery
(Karger Available online 1990)
卷期:
Volume 7,
issue 1
页码: 26-30
ISSN:0253-4886
年代: 1990
DOI:10.1159/000171936
出版商: S. Karger AG
关键词: Ulcer perforation;Peptic pyloric stenosis;Peptic ulcer bleeding;Stomach;Gastric ulcer;Duodenal ulcer
数据来源: Karger
摘要:
Over a period of 12 years, 1,039 patients were operated on at our hospital for gastroduodenal peptic ulcer. We analyzed the indications for surgery and divided the patients into two groups: subjects operated on for refractory ulcer, and patients operated on for an ulcer complication (bleeding, perforation or stenosis). To analyze the incidence of these indications for surgery, the 12 years of study (1976–1987) were divided into three 4-year periods. Our results show a statistically significant decline (p < 0.001) in the number of refractory ulcers after 1979, mainly concerning surgery for duodenal ulcer (p < 0.001). At the same time we witnessed a statistically significant increase (p < 0.001) in ulcer bleeding, again after 1979. This increase is particularly due to an increase in the incidence of duodenal ulcer bleeding (p < 0.001). Perforation did not undergo any statistically significant modifications over the three periods. Finally we witnessed a decrease in peptic stenosis, with a statistically significant decrease for gastric ulcer (p < 0.02
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