Abstract: (1699 Views)
ABSTRACT:
The best method for surgical treatment of typical duodenal ulcer has not been recognized. In this report, 118 patients were randomly selected and then studied by two surgical methods : (1)Oversewing plus vagotomy and drainage (O+V) and (2) Gastric Resection (GR)associated with the removal of the ulcer.
The ratios of postoperative bleeding recurrence, duodenal leakage and the mortality rate were compared .Out of 118 patients, 58 people were operated by O+V method and 60 people by GR method. The rate of bleeding recurrence,duodenal leak and death in the O+V were :17%,3% and 22% respectively, compared with the corresponding rates in the GR method which were: 3%,13% and 23% respectively. The total mortality rate in both methods was 27(13 in O+V and 14 in GR).Of these 27, 15 patients died postoperatively, but their death was not due to the surgical procedures. The cause of their death was related to the underlying and risk factors.
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Special Received: 2019/03/10 | Accepted: 2019/03/10 | Published: 2019/03/10