DUODENUM ÜLSERİ DELİNMELERİ

Year 1981, Volume: 34 Issue: 1, 1 - 10, 11.08.1981

Nezihi Oygür

Abstract

Kliniğimize 1974-1979 Mayıs ayları arasında 71 duodenum ülser perforas -
yonu vakası başvurmuş olup, aynı dönemde başvuran duodenum ülseri vakalarına
göre perforasyon oranı /o 16.5 dur. Hastaların 96 94.4 ü erkek olup, vakaların
yaklaşık 9 50 si 20-39 yaş gurubunda yer almaktadır. Hastaların meslek dağılımında
önemli bir özellik yoktu. Mevsimler arasında önemli bir farklılık olmamakla
beraber, ramazan aylarında göreceli bir artıştan söz edilebilir. Hastaların 96
40.9 unda eskiye ait bir ülser anamnezi yoktu.
Hastaların 2/3 ünde direkt grafide subdiafragmatik serbest hava vardı.
Hastaların 6 84.5 unda primer sütür ve periton drenajı, 76 15.5 unda ise
ülsere yönelik elektif tedavi yöntemi uygulanmıştır. Tüm vakalar gözönüne alındığında
mortalite oranı 9 11.3, sadece elektif vakalar dikkate alındığında ise
mortalite oranı 5 18.2 olarak saptanmıştır.

Keywords

duodenum , ülser , perforas

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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Duodenal Ulcer Perforatıons

Abstract

In five years from May 1974 to May 1979 71 perforated ulcer patients Were
reviewed in the surgical department, Medical School of the University of Ankara.
The incidence of perforation was 16.5 per cent. Only four of these 71 patients
were female. About fifty percent of the patients were between 20 and 39 years
of age.
There is no statistical signiticance of perforations to seasons but it secms tere
was a significant increase during fasting months of Ramadan.
There was no history of peptic ulcer in 29 patients (40.9 percent).
Free air Was present under the diaphragma in two thirds of 71 patients.
The mortality rate was ten percent in patients who had simple closure of
their perforation and it increased to 18.2 percent in patients who had definitive
procedure for their ulcer disease. The mortality rate was 33.3 percent above the
age of sixty years.
We prefere the simple closure method in most perforated ulcer patients. The
definitive surgery for ulcer disease may be considered in patients who had long
history of ulcer and in very eariy hours of acute perforations,

Keywords

history , signiticance , simple

Ethical Statement

-

Supporting Institution

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Project Number

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Thanks

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References

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