Issue: 2012, Vol. 17, No. 3

Zharov S. V., Narezkin D. V., Romanenkov S. N., Loginov E. V.

Surgical tactics in complicated gigantic ulcers of stomach and duodenum in elderly and senile patients

Keywords

peptic ulcer, surgical treatment, old age

Abstarct

The authors analyzed the results of peptic ulcer treatment in 148 patients of old age group with gigantic ulcers of stomach and duodenum. Bleeding was observed in 69 patients (87,3%) among the total group of patients with complicated course of the disease. Disturbances of the motor-evacuator function which were revealed in 76 (65,5%) patients and decrease of Helicobacter pylori dissemination character were the peculiarities the ulcer formation. Argon plasma coagulation technique used in the treatment for stomach and duodenum bleeding ulcers demonstrated its efficacy. The effective technique of the treatment for complicated gigantic ulcers of stomach and duodenum by argon plasma coagulation was developed and introduced in practice. It allowed to create the optimal conditions for ulcer healing under «crust».