SURGICAL TREATMENT OF PERFORATED DUODENAL ULCER

In this study, clinical and surgical treatment of 303 cases of perforated duodenal ulcer were evaluated during a period of 5 years (1990-1995). As a result, we can state that surgeons less often prefer acid-decreasing surgical procedures in the surgical treatment of patients after closure of perforated duodenal ulcer. The effect of H2 antagonists and proton inhibitors may explain why mostly simple closure for perforated duodenal ulcers is preferred by the surgeons.

DUODENAL ÜLSER PERFORASYONU OLGULARINDA CERRAHÝ TEDAVÝ

Bu çalýþmada 5 yýllýk bir dönemde (1990-1995) SSK Okmeydaný Hastanesinde opere edilen 303 duodenal-ülser perforasyonu olgusu klinik bulgularý ve cerrahi tedavileri açýsýndan incelenmiþtir. Elektif ameliyatlarýn yýllar içerisinde daha az yapýlmaya baþlandýðý saptanmýþtýr. H2 reseptör blokeri ve hidrojen proton pompa inhibitörleri gibi etkili ilaçlarýn kullanýlmasý duodenal ülser perforasyonu sonrasý primer kapama yönteminin cerrahlar tarafýndan daha sýk kullanýlmasýna neden olacaktýr.