Section 48
Chapter 47,217

Rehabilitation of patients after suturing perforated duodenal ulcer

Afendulov, S.A.; Smirnov, A.D.; Zhuravlev, G.I.; Krasnolutskiĭ, N.A.

Khirurgiia 4: 48-51


ISSN/ISBN: 0023-1207
PMID: 12001684
Accession: 047216937

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516 patients with perforated duodenal ulcer were operated, 396 of them underwent palliative operations. Long-term results were studied in 237 patients. Determination of individual sensitivity to H2-blockers of histamine receptors with 24 hour pH-metry demonstrated tendency towards reduction of therapeutic effect time, and in 17-18% cases--resistance development. Individual selection of drugs with diet, obligative antihelicobacter therapy with eradication control permit to reduce ulcer recurrence rate from 65.5 to 4.8%. Success depends on organisation of rehabilitation and prophylactic treatment.

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