Erichsen J
Zentralbl Chir. 1977;102(5):305-13.
The poor results of surgical treatment of peptic ulceration in old age can only be improved if both internal medicine and surgery will find guiding principles for operative indications. 1. Chronic ulcer is an indication of operative treatment even in old age. - 2. Conservative treatment of phyloric stenosis caused by peptic ulceration is only permissable, if a florid ulcer in evident. - 3. The evidence of a chronic bleeding ulcer indicates surgical treatment. Suitable short-time conservative treatment gives better conditions for any type of surgery.-4. The perforated ulcer in old age should only be treated by the smallest surgical procedure. Antibiotic therapy should begin immediately after establishing the diagnosis.
只有在内科和外科都找到手术指征的指导原则时,老年消化性溃疡手术治疗的不佳结果才能得到改善。1. 即使是老年患者,慢性溃疡也是手术治疗的指征。- 2. 由消化性溃疡引起的幽门狭窄,只有在有明显活动性溃疡时才允许进行保守治疗。- 3. 慢性出血性溃疡的证据表明需要手术治疗。适当的短期保守治疗可为任何类型的手术提供更好的条件。- 4. 老年穿孔性溃疡应仅通过最小的手术程序进行治疗。确诊后应立即开始抗生素治疗。