NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER
The results of examination and treatment of 152 patients with perforated duodenal ulcer were analyzed with the aim to make the ground of systemic approach to their surgical treatment in consideration of contemporary achievements of laboratorial and instrumental diagnostics and the opportunities of m...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2018-01-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/709 |
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| author | P. N. Romashchenko N. A. Maistrenko A. E. Korovin S. A. Sibirev P. A. Sidorchuk |
| author_facet | P. N. Romashchenko N. A. Maistrenko A. E. Korovin S. A. Sibirev P. A. Sidorchuk |
| author_sort | P. N. Romashchenko |
| collection | DOAJ |
| description | The results of examination and treatment of 152 patients with perforated duodenal ulcer were analyzed with the aim to make the ground of systemic approach to their surgical treatment in consideration of contemporary achievements of laboratorial and instrumental diagnostics and the opportunities of minimally invasive surgery. The results of conducted clinical study showed that in order to establish the correct preoperative diagnosis and the choice of rational treatment of patients with perforated duodenal ulcer it is necessary to conduct a purposeful complex investigation, including an assessment of general somatic state and the operative-anaesthetic risk of patients and changes of pyloroduodenal zone and the severity of peritonitis and prediction of lethality. The diagnostic algorithm let the authors make a diagnosis of perforated duodenal ulcer before the operation and decide on an adequate volume of surgical intervention. It is established, that the integral assessment of the examination results and surgery, the evaluation of the titres of antibody to ulcerogenic strains Helicobacter pylori, studying of psychophysiological profile of patient can justify the complex program of medicamentous therapy in postoperative period, providing the remission of peptic ulcer. |
| format | Article |
| id | doaj-art-e1db4224cd8a4c28beac713403b57257 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2018-01-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-e1db4224cd8a4c28beac713403b572572025-08-20T04:00:34ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-01172304205010.24884/0042-4625-2013-172-3-042-050708NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCERP. N. Romashchenko0N. A. Maistrenko1A. E. Korovin2S. A. Sibirev3P. A. Sidorchuk4Kirov Military Medical AcademyKirov Military Medical AcademyKirov Military Medical AcademyKirov Military Medical AcademyKirov Military Medical AcademyThe results of examination and treatment of 152 patients with perforated duodenal ulcer were analyzed with the aim to make the ground of systemic approach to their surgical treatment in consideration of contemporary achievements of laboratorial and instrumental diagnostics and the opportunities of minimally invasive surgery. The results of conducted clinical study showed that in order to establish the correct preoperative diagnosis and the choice of rational treatment of patients with perforated duodenal ulcer it is necessary to conduct a purposeful complex investigation, including an assessment of general somatic state and the operative-anaesthetic risk of patients and changes of pyloroduodenal zone and the severity of peritonitis and prediction of lethality. The diagnostic algorithm let the authors make a diagnosis of perforated duodenal ulcer before the operation and decide on an adequate volume of surgical intervention. It is established, that the integral assessment of the examination results and surgery, the evaluation of the titres of antibody to ulcerogenic strains Helicobacter pylori, studying of psychophysiological profile of patient can justify the complex program of medicamentous therapy in postoperative period, providing the remission of peptic ulcer.https://www.vestnik-grekova.ru/jour/article/view/709перфоративная дуоденальная язваперитонитhelicobacter pyloriстволовая ваготомиялапароскопическое ушивание язвыпсихофизиологический профильperforated duodenal ulcerperitonitishelicobacter pyloristem vagotomylaparascopic suture of ulcerpsychophisiological profile |
| spellingShingle | P. N. Romashchenko N. A. Maistrenko A. E. Korovin S. A. Sibirev P. A. Sidorchuk NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER Вестник хирургии имени И.И. Грекова перфоративная дуоденальная язва перитонит helicobacter pylori стволовая ваготомия лапароскопическое ушивание язвы психофизиологический профиль perforated duodenal ulcer peritonitis helicobacter pylori stem vagotomy laparascopic suture of ulcer psychophisiological profile |
| title | NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER |
| title_full | NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER |
| title_fullStr | NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER |
| title_full_unstemmed | NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER |
| title_short | NEW APPROACHES IN TREATMENT OF PATIENTS WITH PERFORATED DUODENAL ULCER |
| title_sort | new approaches in treatment of patients with perforated duodenal ulcer |
| topic | перфоративная дуоденальная язва перитонит helicobacter pylori стволовая ваготомия лапароскопическое ушивание язвы психофизиологический профиль perforated duodenal ulcer peritonitis helicobacter pylori stem vagotomy laparascopic suture of ulcer psychophisiological profile |
| url | https://www.vestnik-grekova.ru/jour/article/view/709 |
| work_keys_str_mv | AT pnromashchenko newapproachesintreatmentofpatientswithperforatedduodenalulcer AT namaistrenko newapproachesintreatmentofpatientswithperforatedduodenalulcer AT aekorovin newapproachesintreatmentofpatientswithperforatedduodenalulcer AT sasibirev newapproachesintreatmentofpatientswithperforatedduodenalulcer AT pasidorchuk newapproachesintreatmentofpatientswithperforatedduodenalulcer |