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紧急溃疡手术。

Emergency ulcer surgery.

机构信息

Department of Surgery, University of Florida College of Medicine, 1600 Southwest Archer Road, PO Box 100109, Gainesville, FL 32610-0109, USA.

出版信息

Surg Clin North Am. 2011 Oct;91(5):1001-13. doi: 10.1016/j.suc.2011.06.008.

Abstract

The rate of elective surgery for peptic ulcer disease has been declining steadily over the past 3 decades. During this same period, the rate of emergency ulcer surgery rose by 44%. This means that the gastrointestinal surgeon is likely to be called on to manage the emergent complications of peptic ulcer disease without substantial experience in elective peptic ulcer disease surgery. The goal of this review is to familiarize surgeons with our evolving understanding of the pathogenesis, epidemiology, presentation, and management of peptic ulcer disease in the emergency setting, with a focus on peptic ulcer disease-associated bleeding and perforation.

摘要

在过去的 30 年中,用于治疗消化性溃疡疾病的择期手术率一直在稳步下降。在此期间,用于治疗消化性溃疡疾病的急诊手术率上升了 44%。这意味着胃肠外科医生可能会在没有处理消化性溃疡疾病择期手术经验的情况下,被要求处理消化性溃疡疾病的紧急并发症。本综述的目的是使外科医生熟悉我们对消化性溃疡疾病发病机制、流行病学、表现和在紧急情况下的处理方法的不断发展的认识,重点关注与消化性溃疡疾病相关的出血和穿孔。

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