A study on 5 cases of severe complication of gastroduodenal ulceration after urological operation and restrospective study on the medical records in Viet Duc hospital have shown that the treatment of gastroduodenal ulceration involved ages, time of hospitalization, pathoanatomical lesions. The severe complication of gastroduodenal ulceration indicated by emergency operation for cutting 2/3 stomach with safe results.
Peptic Ulcer ; Surgery ; complications

170 patients with perforated peptic ulcer (90% perforated duodenal ulcer and 10% perforated gastric ulcer) were included in the study from 8/1998 to 8/1999 at the Cho Ray hospital, Ho Chi Minh city. 165 patients (97.05%) were treated by simple surgical closure (including by one laparoscopic repair) with a postoperative mortality of 4.84%. 4 of them were treated by subtotal gastrectomy and one by vagotomy+ pyloroplasty without mortality. In summary, simple surgical closure is a satisfactory operation for most patients.
Peptic ulcer ; therapeutics ; surgery

From January to December 2002 at Cho Ray Hospital Ho Chi Minh City, bleeding peptic ulcer was recognized in 273 patients. Surgical treatment was used in 11.4% (31/273 cases). The indication for surgery was correlated with site, size, general status, lesion of the bleeding peptic ulcer and rebleeding or failure of endoscopic treatment as well as bleeding degree. Surgical procedures including simple suture (n=10), Weinberg's operation (n=3), and subtotal gastrectomy (n=18). Postoperative rebleeding rate was 19.4% (6/31) and was the highest in simple suture procedure. Mortality rate was 25.8% (8/31)
peptic ulcer ; Therapeutics ; surgery ; Hemorrhage

Remarks on laparoscopic suture of perforated peptic ulcer. Objectives: to evaluate the early result of laparoscopic repair of perforated peptic ulcer. Method: prospective study. The outcome of 26 patients having the lararoscopic repair of perforated peptic ulcer was compared with the outcome of 26 patients treated with suture via laparotomy during the same period – from Sept 1995 to Dec 1998. Results: the average operative time of laparoscopic suture was longer than for open suture (69.6 min Vs. 48.7 min; T test, p<0.05). There was no difference of the time between the laparoscopic and the open groups to resume normal diet (3.8 days). The everage hospitalization days for laparoscopic repair was shorter than for open repair (6 days; T test, p < 0.05). Conclusions: laparoscopic repair of perforated peptic ulcer is feasible, safe and effictive, has the additional and well – known advantages of minimally invasive surgery.
Peptic Ulcer ; Endoscopy ; surgery ; therapeutics

98 patients with perforated peptic ulcer were treated by simple surgical closure followed by H.pylori eradication. Effect of H.pylori eradication was demonstrated by improvement or resolution of histopathological lesions of chronic gastritis 97.95% compared with 60.2% in pre and postreatment lesions (p<0.0001), atrophy 20.83% vs 4.16% (p<0.0001) and intestinal metaplasia 18.75% vs 9.37% (p < 0.005). After successful eradication of H.pylori, these lesions were restored and improved significantly in patients received a new triple therapy for 7 days (OCA-7).
Peptic Ulcer ; Helicobacter pylori ; surgery

Of 115 patients with perforated peptic ulcer, 96,5% (111/115) were treated by simple surgical closure followed by Helicobacter pylori (H.pylori) eradication. 111 H.pylori positive patients received triple therapy including Omeprazole 20 mg b.d + Clarithromycine 500mg b.d + Amoxicillin 1,000 mg b.d for 7 days (OCA-7). Follow -up endoscopiy was performed over 2 month and over 1 year after hospital discharge for surveillance of ulcer healing and determination of H.pylori status. Of 107 patients who did underwent follow-up endoscopy, 95.3% (102/107) had H.pylori eradicated and initial ulcer healing rate was 92.5% (99/107). After over 1 year, H. pylori reinfection rate was 16.8% (16/95) and ulcer ralapse rate was 7.4% (7/95). The simple surgical closure followed by H.pylori eradication prevents ulcer recurrence in patients with H.pylori associated perforated peptic ulcers.
Peptic ulcer ; Helicobacter pylori ; surgery

The tests on gastric acid of patients with the perforated duodenal ulceration operated in ViÖt §øc Hospital were carried out and compared with these of patients who received an operation of the duodenal ulceration perforation by traditional method. The results have shown that the Taylor method has a reduction of gastric acid as the basic test and the insulin test were 41% and 49%, resectively. The Hill Barker method has a reduction of gastric acid as 2 above mentioned tests were 56% and 64%, respectively. The reduction of gastric acid as the Hill Barker method was a statistical significant different from this as the Taylor method (P=0.0022). The reduction of gastric acid in 2 above methods was stable (P=0.05). There were serious complications for patients in tests.
duodenal ulcer ; Duodenal Diseases ; surgery

Humans ; Peptic Ulcer ; complications ; surgery

After 598 cases of ulcerated duodenal two- thirds gastrectomy as Billroth II, The authors came to the following conclusion: (1) Gastrectomy for duodenal ulcer covered 38% (598/1573): male 88.3%; female 41.7%. The average time of getting the disease was from 6 to 15 years (46.5%). The main age was from 31 to 50 (61.04%). The therapeutic state before operation was limited; appointing the operation in turn was 99.66%; emergency operation was 1.34%. (2). The mortality of 0.33%; complication 2.1% (spleen cutting, joining bleeding; stump duodenal fistula...) were generally low. This result was achieved by operative decisions in which the majority was operation in turns. (3) The long-term results were quite good that we could see in many tests, Ranked following Visick 1948, we saw VI: 60.6%; VII: 31.31%; VIII: 6.06%; IX: 2.02%.
duodenal ulcer ; Duodenal Diseases ; surgery ; therapeutics

75 patients (male: 9) with ages of 15-60 and duodenal ulceration had no effect with the drug therapy during 10/1990-10/1995 received the selective proximal gastric vagotomy. The preoperative, intraoperative and postoperative gastric pH was measured by grassy method. The result has shown that the preoperative pH was 1.2-3.2, the postoperative pH of selective proximal vagotomy (nerve cord for acid secretion) was 5.5-6.4. pH in the gastric antrum beyond the big curve which is far from pylorus about 5 cm was less 1.5.
duodenal ulcer ; Duodenal Diseases ; surgery ; therapeutics