Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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LATE FATE OF CLOSURE OF PERFORATED PEPTIC ULCER OF STOMACH AND DUODENUM

Trukhalev V.A. 1 Gomozov G.I. 1
1 State State-Financed Educational Institution of Higher Professional Education “Nizhny Novgorod State Medical Academy” of the Russian Federation Ministry of Public Health
Research objective: to evaluate influence of antiulcer treatment at early postoperative period on late fate after closure of perforated ulcer. Materials and methods: Two groups of patients who had closure of perforated ulcer from the year 2000 up to the year 2005 were chosen. First group included 60 patients who had triple eradicative therapy at the early postoperative period or dual therapy using proton pump inhibitor. Experimental group included 98 patients who had no antiulcer treatment in accordance with Maastricht Consensus Report. Groups may be compared by dominances. Visick scale was used to evaluate late fate. Results: During late fate evaluation it was found out that excellent and good results (92%) dominated in the treatment group and unsatisfactory results were absent. At the same time, excellent and good results showed only 30% of patients from the experimental group and 10% of patients had unsatisfactory results. Conclusion: Multiple therapy using eradicative therapy at the early postoperative period after closure of perforated ulcer allows to reach excellent and good late fate with the majority of patients.