Pipia I K, Kumsiashvili R N
Vestn Khir Im I I Grek. 1975 Jul;115(7):14-8.
Under observation were 192 patients with peptic ulcer. In 72.4% of patients complicated peptic ulcers were noted. The frequency and character of complications is changed depending on the method of surgery previously performed--in peptic ulcer, developed under conditions of gastric resection, these are more frequent and of a more grave character than in peptic ulcer of gastroenteroanastomosis. Among complications the first place is occupied by penetration with subsequent occurrence of profistulas (25), and then gastroenterocolonic fistulas (13%). Pentration of jejunal peptic ulcer in the free abdominal cavity is observed comparatively rarely, according to the authors' findings this complication was noted in 3.6% of cases. Bleeding peptic ulcers were observed in 45% of cases, in more than a half of them hemmorrhage was profuse. No malignant transformation of jejunal peptic ulcer was observed.
对192例消化性溃疡患者进行了观察。72.4%的患者出现了消化性溃疡并发症。并发症的发生率和特征因先前实施的手术方法而异——在胃切除术后发生的消化性溃疡中,这些并发症比胃肠吻合术后的消化性溃疡更频繁且更严重。在并发症中,穿透并随后出现瘘管(25例)位居首位,其次是胃肠结肠瘘(13%)。空肠消化性溃疡穿透至游离腹腔的情况相对少见,根据作者的研究结果,该并发症在3.6%的病例中被观察到。45%的病例出现了消化性溃疡出血,其中一半以上出血量大。未观察到空肠消化性溃疡恶变。