Abstract

FLORES MIRANDA, Enrique  and  FLORES DELGADO, Enrique Adrián. Treatment of performed peptic ulcer: Results. Rev Cubana Cir [online]. 2009, vol.48, n.2, pp. 0-0. ISSN 1561-2945.

INTRODUCTION: In our hospital, performed peptic ulcer has a high morbidity and mortality, greater than 20% during last 5 years, motivating us to perform this paper. METHODS: Authors made a prospective and descriptive study of patients treated by performed peptic ulcer in General Surgery Service of "Manuel Ascunce Domenech" University Hospital of Camaguey province during 2006 and 2007. RESULTS: Perforated peptic ulcer had a predominance in men aged between 40 and 59. The 41, 2% of them had backgrounds of peptic ulcer although only half received medical treatment. Most of patients were seen between 13 and 24 hours of clinical picture start, and there were few shock cases, dehydration or another associated severe disease. Perforated peptic ulcer was the more frequent (67, 6%) suture and epiploplasty, were the more used surgical techniques. Mortality was of 5,9% due to multiple organ failure and severe respiratory sepsis. CONCLUSIONS: Index of complications and mortality in our series were low, according to application of measures aimed to treat properly shock and the associated severe diseases, to decrease preoperative time, and to review surgical techniques used, including peritoneal lavage.

Keywords : Perfored peptic ulcer; clinical picture; localization; treatment; mortality.

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