WHY SHOULD WE ABANDON THE OPERATION OF SIMPLE CLOSURE FOR DUODENAL ULCER COMPLICATED BY PERFORATION?

Abstract

The objective is to define the place of the operation of simple closure for perforated duodenal ulcers in the modern stage of the treatment of these patients.Material and methods. Comparative analysis of 2 groups of patients with perforated duodenal ulcer was made. The 1st group consisted of 40 patients who performed simple closure of perforated ulcers. The 2nd group consisted of 130 patients who fulfilled the excision of the edges of perforated ulcers and Judd pyloroplasty.Results. It is shown, that the simple closure of perforated ulcer (group 1) leads to statistically significant deterioration of results according to the increasing time from the moment of perforation. Fisher criterion = 0.01784 (p<0.05). The increase of mortality among the patients of the 2nd group also dependent on the duration of the disease and severity of developed peritonitis, but this increase of mortality is not statistically significant. Fisher criterion = 0.11974 (p>0.05).Conclusion. The operation of the simple closure of perforated duodenal ulcer in the present stage of development of medicine should not be the operation of choice among the most of patients with this pathology.

Keywords

• peritonitis
• perforation
• duodenal ulcer