[Population surgical activity in peptic ulcer and its components].

Conception of peptic ulcer disease population surgical activity is presented. The notion is characterized by the aggregate frequency of urgent and definite preventive operations for peptic ulcer per 100.000 population of the region, the country. The correlation of frequency of operations for perforation, hemorrhage and definite preventive surgery determines the structure of the index. The 30 year monitoring of population surgical activity in Gomel region (Belarus) stated that urgent and definite preventive surgery are in inverse dependence. Excessive reduce of planned surgery supports the over-level of the urgent one. The index depends on peptic ulcer population heaviness and the effectiveness of the treatment strategy. The most important feather of this strategy is the optimal definite preventive surgery level. Today the index is tree times more than in highly developed industrial countries, but with the same structure. Urgent surgery for hemorrhage ulcers reached the quarter and for perforated ulcers mounted to the half. The minimization of the index can be based on the adequate conservative treatment and planned surgery correlation.