TY - JOUR

T1 - О расширении показаний к оперативному лечению язвенной болезни желудка

AU - Gurin, N N

AU - Logunov, K V

AU - Dmitrichenko, V V

AU - Soldatov, A I

AU - Makarov, M R

PY - 1999

Y1 - 1999

N2 - A group of patients operated upon for ulcer disease of the stomach was selected from 1279 patients with this disease in which the nearest results of the surgical treatment were followed-up retrospectively. Seven patients died. The average period of postoperative treatment in the hospital was (17.7 +/- 1.5) days. Complications developed in 78 patients. A comparison of results of preoperative examinations with the conclusions of the morphologist according to data of studying the operative specimens has established low sensitivity of the current methods of diagnosing the cancerous nature of ulcers--as low as (72 +/- 5)%. The final diagnosis of a malignant ulcer was made in 81 patients, only in 58 of them the malignization was suspected before operation, in 23 patients the tumoral process was a "chance" finding. This fact speaks in favour of widening the indications for operative treatment of noncomplicated gastric ulcers.

AB - A group of patients operated upon for ulcer disease of the stomach was selected from 1279 patients with this disease in which the nearest results of the surgical treatment were followed-up retrospectively. Seven patients died. The average period of postoperative treatment in the hospital was (17.7 +/- 1.5) days. Complications developed in 78 patients. A comparison of results of preoperative examinations with the conclusions of the morphologist according to data of studying the operative specimens has established low sensitivity of the current methods of diagnosing the cancerous nature of ulcers--as low as (72 +/- 5)%. The final diagnosis of a malignant ulcer was made in 81 patients, only in 58 of them the malignization was suspected before operation, in 23 patients the tumoral process was a "chance" finding. This fact speaks in favour of widening the indications for operative treatment of noncomplicated gastric ulcers.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Biopsy

KW - Chronic Disease

KW - Emergencies

KW - Endoscopy, Digestive System

KW - Female

KW - Fiber Optic Technology

KW - Gastrectomy/methods

KW - Gastric Mucosa/pathology

KW - Humans

KW - Male

KW - Middle Aged

KW - Peptic Ulcer Hemorrhage/diagnosis

KW - Peptic Ulcer Perforation/diagnosis

KW - Stomach Ulcer/complications

M3 - статья

C2 - 10491828

VL - 158

SP - 17

EP - 19

JO - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА

JF - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА

SN - 0042-4625

IS - 1

ER -