Surgical Treatment for Perforated and Hemorrhagic Ulcers of Stomach and Duodenum

Abstract

The development of medical treatments for ulcers has significantly decreased the need for surgery in the last century. Surgical treatment for gastric ulcers is reserved for complications like severe bleeding, perforation, or obstruction. The success of the therapeutic treatment of gastric and duodenal ulcers has also changed the attitude of surgeons to the complications of peptic ulcers. Currently, the main aim of the surgeon is to eliminate the life-threatening consequences of perforation or bleeding. In addition, methods of intraluminal endoscopy continue to develop vigorously, in some cases competing with both open and laparoscopic surgeries for perforated ulcers, and endoscopic and endovascular hemostasis is increasingly used for ulcer bleeding. Purpose: To analyze the immediate and long-term results of surgical treatment of complicated gastric and duodenal ulcers and to evaluate the place of gastric resection in emergency surgery.  The medical management of chronic ulcer disease has largely expanded, reducing the need for surgical treatment.