Improvement of the Method of Excision of a Perforated Duodenal Ulcer

Relevance. According to the summary statistics of researchers, 10-15% of the world's population suffers from duodenal ulcer (DU). Perforated duodenal ulcer (PDU) continues to occupy a leading place in the structure of frequency (10-20%) and mortality (2.0-20%). At the same time, the results of surgical treatment are not entirely satisfactory. Despite two centuries of experience in the treatment of DU, including its complication by perforation, it has allowed us to test and use all known surgical interventions in gastric surgery.

Objective. Improving the results of surgical treatment of perforated duodenal ulcers by improving pylorus-preserving methods and techniques of ulcer excision operations with duodenoplasty.

Materials. The study was conducted in the surgical department of the Clinic of the Altai State Medical Institute, in which 50 patients diagnosed with PU took part..

Results After improving the methodology and technical methods of pylorus-preserving DP, as well as diagnostic and treatment algorithms, it is possible to improve the results of surgical treatment of PDU.

Conclusion. According to the authors, the use of a new surgical method in the treatment of PDU due to the determination of the low efficiency of PDP of the Judd-Tanaka, Heineke-Mikulich and Finney type will reduce the incidence of postoperative complications and mortality and improve the long-term results of surgical treatment.