Articles

Immediate Results of Surgical Treatment for “Difficult” Duodenal Ulcers

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For the period from 2001 to 2020, 1567 patients were operated on for duodenal ulcers (DU) on the basis of the Department of Surgical Diseases and Urology of the Andijan State Medical Institute. At the same time, “difficult” DU was diagnosed in 494 (31.5%) patients. Of these, 364 (73.7%) patients were operated on in a planned manner and 130 (26.3%) – in an emergency. The subject of our study were only 262 patients with “difficult” DU who were admitted to the clinic in a planned manner. At the same time, the control group consisted of 114 (43.5%) patients and the main group – 148 (56.5%) patients.

Thus, the analysis of the causes of undesirable consequences and the revision of surgical tactics, taking into account the omissions made in patients of the control group and the widespread use of improved methods and techniques of operations, made it possible to reduce the frequency of postoperative complications associated with surgical intervention on the stomach – by 12.6% (from 19 .3 to 6.7%), as well as mortality by 5.4% (from 6.1 to 0.7%). All this allowed us to achieve the desired goal.