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Non-selective and non-surgical treatment of perforated gastroduodenal ulcer

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Author:
CHEN Gang(Department of Gastrointestinal Surgery,Affiliated Futian Hospital of Guangdong Medical College(Shenzhen 518033,China))
TAN Shi-cheng(Department of Gastrointestinal Surgery,Affiliated Futian Hospital of Guangdong Medical College(Shenzhen 518033,China))
LU Gang(Department of Gastrointestinal Surgery,Affiliated Futian Hospital of Guangdong Medical College(Shenzhen 518033,China))
ZHANG Dong-hui(Department of Gastrointestinal Surgery,Affiliated Futian Hospital of Guangdong Medical College(Shenzhen 518033,China))
ZHU Liya(Department of Gastrointestinal Surgery,Affiliated Futian Hospital of Guangdong Medical College(Shenzhen 518033,China))
Journal Title:
CHINA MEDICINE
Issue:
Volume 3, Issue 04, 2008
DOI:
Key Word:
Peptic ulcer;Perforation;Non-surgical treatment;Non-selective

Abstract: Objective To discuss the feasibility of non-selective and non-surgical treatment o perforatedgastroduodenal ulcer(PGDU).Methods Totally 90 cases with PGDU were enrolled.They were given un-selectednon-surgical therapies,such as gastric decompression,infection control,acid suppression,nutritional support,onthe first day of hospitalization.Results Eighty-six cases(95.6%)were cured,including 5 cases of abdominalabscess treated by catheterization recovered after left no complications.3 cases(3.3%)were converted toemergency surgical treatment and 1 case(1.1%)complicated with enteric fistula was cured by time-selectiveoperation.Conclusion Non-surgical comprehensive therapies are effective for majority of PGDU patients withoutsevere complications.Therefore,re-evaluation of traditional indications of surgical treatment of PGDU isrecommended.

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