J Korean Surg Soc.
1997 Aug;53(2):219-227.
Surgical Treatment of Peptic Ulcer Disease
- Affiliations
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- 1Department of General Surgery, Seoul Red Cross Hospital, Korea.
Abstract
- We reviewed the 161 cases who had undergone surgery for peptic ulcer disease at the Department of Surgery, Seoul Red Cross Hospital, from Mar.1990 to Feb.1995. 1)The most common one was duodenal ulcer(64.6%).Gastric ulcer and combined gastroduodenal ulcer was 30.4% and 5.0%, respectively. 2)The peak incidence of age was 3rd and 5th decades and mean age was 44.4 years. The mean age of duodenal ulcer was 40.9 years and gastric ulcer was 52.4 years. 3) The male and female sex ratio 12:1 in duodenal ulcer and 7.5:1 in gastric ulcer. 4) In indication of operation, the most common one was perforation in duodenal ulcer and bleeding in gastric ulcer. 5) The percentage of emergency operation was low in H2 receptor antagonist group (28.7%) than nonuse group(51.8%). 6) The positive rate of subdiaphragmatic free air was 72.4% in duodenal ulcer and 64.7% in gastric ulcer. 7) The most common operative procedure was subtotal gastrectomy in gastric ulcer and vagotomy and pyloroplasty in duodenal ulcer. 8) The postoperative complication was 18.6% in emergency operation and 12.5% in elective operation. 9) The postoperative mortality was 2.5% in total patients and 3.1% in emergency operation and absent in elective operation.
