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胃溃汤病的外科疗法。

Surgical Therapy of Gastric Ulcer Disease.

机构信息

Hackensack Meridian Health Palisades Medical Center, North Bergen, NJ, USA; Department of General Surgery, Englewood Health Medical Center, Englewood, NJ, USA.

Department of General Surgery, Englewood Health Medical Center, Englewood, NJ, USA.

出版信息

Surg Clin North Am. 2025 Feb;105(1):173-186. doi: 10.1016/j.suc.2024.06.013. Epub 2024 Oct 15.

Abstract

Medical advancements, including Helicobacter pylori eradication and antisecretory agents, have reduced peptic ulcer disease (PUD)-associated hospital admissions, mortality, and surgical interventions over the past 30 years. Surgery plays an important role in the treatment of life-threatening complications of PUD, such as bleeding, perforation, and gastric outlet obstruction, as well as for disease that is refractory to medical management. The article highlights the critical role of surgery in cases where medical therapy is insufficient or in the event of emergency complications arising from PUD.

摘要

在过去的 30 年里,医学的进步,包括幽门螺杆菌的根除和抗分泌药物的应用,已经降低了消化性溃疡病(PUD)相关的住院率、死亡率和手术干预率。手术在治疗 PUD 的危及生命的并发症方面发挥着重要作用,如出血、穿孔和幽门梗阻,也可用于治疗对药物治疗无反应的疾病。本文强调了在药物治疗不足或 PUD 发生紧急并发症的情况下手术的关键作用。

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