Marginal Ülser Problemi - Önleme Çareleri ve Cerrahi Tedavisi
Abstract
The Marginal Ulcer problem-Prevenfion ad Their Surgical Treatment
15 Marginal ulcer cases hasbeen analysed, treated between 1962 - 1972 in our Clinic. Marginal ulcer formation indicated the failure of the surgical method used for the preciding duodenal ulcer treatment.
The complications of Marginal ulcers, with high modbidity and mortalitiy rate has been found that has increased the importance of thisproblem. Gastric physiology and ethio-pathogenesis of peptic ulceration has been summerized because of direct relationship between them and Marginal ulceration.
In our cases, insufficient gastric resection, antrum reserved on the duodenal stump and gastro-enterostomy without vagotomy were the most outstanding reasons for Marginal ulceration. None of these cases had been vagotomized before.
4 of the 15 cases show perforation or penetrated ulcers. This type of complica tions causes high rate of peritonitis and mortality. In the treatment of either duodenal or Marginal ulcers, the high acid secretion and the role of antrum upon acid secretion must be borne in mind. The surgical procedures, parallel to this concept has shown favorable results.
Keywords
Marginal ulcers, Surgical treatment, Gastric physiology and peptic ulcer etiology
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