Nikolaev N O, Startsev A I, Grishin S G, Chekmazov I A
Khirurgiia (Mosk). 1990 Feb(2):69-72.
The authors analyse 59 cases with giant gastric ulcers (measuring 3 cm or more in diameter) treated by surgery, which accounted for 10.7% of all the operations conducted for gastric ulcers. It is shown that giant gastric ulcers are complicated and recur most frequently. Planned operations were performed on 56 patients, 3 patients underwent emergency operations at the peak of hemorrhage, the stomach was resected in all of them. Total postoperative mortality was 3.4%, no fatal outcomes occurred in emergency operations. The authors conclude that giant gastric ulcers should be treated by operation after 2-3-week course of preoperative management. Resection of the stomach is the operation of choice.
作者分析了59例接受手术治疗的巨大胃溃疡（直径3厘米或更大）病例，这些病例占所有胃溃疡手术的10.7%。结果表明，巨大胃溃疡病情复杂，复发最为频繁。56例患者接受了择期手术，3例患者在出血高峰期接受了急诊手术，所有患者均行胃切除术。术后总死亡率为3.4%，急诊手术无死亡病例。作者得出结论，巨大胃溃疡应在进行2 - 3周的术前处理后进行手术治疗。胃切除术是首选术式。
