Caselli BE, Cabrera JP, Díaz PA, Elgueta ML, Frelinghuysen MD, Molina HE

Language: Spanish
References: 8
Page: 88-93
PDF size: 86.90 Kb.

ABSTRACT

Introduction: The treatment of the peptic ulcer (PU) has changed into the last decades, with decrease of the surgical interventions and changes into the type of surgery, as consequence of antagonists recipients H2 introduction and inhibiting of bomb of protons, besides the knowledge of Helicobacter pylori role (Hp) into the pathogenesis and recurrence of the PU. Objective: To communicate the experience in PU elective surgery in the Clinical Regional Hospital Concepcion (HCRC) for 10 years. Material and method: Observational and descriptively, transversal study, by means of clinical cards. They were considered 13 patients submitted to UP's elective surgery between 1996-2005 in the HCRC. There was in use the software SPSS®v.13.0. Results: Men 12(92.3%), women 1(7.7%). Average age 44.3(±12.1), minimum 28 and maximum 67. Ulcer location; it predominated duodenal 61.5%, followed prepyloric 23 %. In 3(23.1%) patients there were no precedents of medical previous treatment. Time mediated between the first consultation and surgery 3,6 years, minimum 3 months, maximum 12 years. In 11(84,6 %) patients Hp was recorded (+). In 10 patients the indication was a failure to the medical treatment. In all the patients with duodenal ulcer was realized truncal vagotomy(TV), and in 5/8 of these antrectomy. Reconstitution of transit; Billroth II 8/13 patients, Y Roux 4/13, BiIlroth I 1/13. In 1 patient postoperatory complications were registered. Time average of postoperatory hospitalization 6,9(®2,3 ) days. There was no mortality. Conclusions: The UP's elective surgery is not too frequent in our enviroment, being indicated mainly due to failure of medical treatment and being realized preferably antrectomy more TV.

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