The current role of surgery in the treatment of gastroduodenal ulcer

  • Aline Gomes Interna do 6º Interna do 6o ano de Cirurgia Geral; ano de Cirurgia Geral; Serviço de Cirurgia 1 do Centro Hospitalar de Tondela Viseu, Portugal
  • M. Sá Interna do 3º ano de Cirurgia Geral; Serviço de Cirurgia 1 do Centro Hospitalar de Tondela Viseu, Portugal
  • M. C. Marques Assistente Graduada de Cirurgia Geral; Serviço de Cirurgia 1 do Centro Hospitalar de Tondela Viseu, Portugal
  • L. F. Pinheiro Director de Serviço; Serviço de Cirurgia 1 do Centro Hospitalar de Tondela Viseu, Portugal


Surgery for gastroduodenal ulcer disease has been declining in the past few decades and the role of surgery in the treatment of gastroduodenal ulcer has been referred to the treatment of this complications. In this paper, the authors proposed to study the current role of surgery in the treatment of this disease between January 2001 and December 2010. During this period 134 patients were operated, all for complications of gastroduodenal ulcers (83 by perforation, 34 by hemorrhage, 16 by stenosis and 1 by intractability). Patients were mostly male (63.4%) and 67.2% had no known past ulcer. Alcohol habits, medication with NSAIDs and smoking habits were the most prevalent risk factors. Most patients were ASA III or IV and only 36.57% were submitted to definitive surgery. Hemorrhage behaved the highest rate of complications, re-intervention and mortality. Comparing with previous study periods, the medical intractability is today a rare indication for surgery, and the perforation, gastrointestinal hemorrhage and stenosis represent the most common indications. The emergency surgery mostly associated with older patients and their co-morbidities, may have contributed to some of the unfavorable results.

Keywords: Peptic ulcer, gastric ulcer, peptic ulcer perforation, gastrointestinal hemorrhage, piloric stenosis


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How to Cite
GOMES, Aline et al. The current role of surgery in the treatment of gastroduodenal ulcer. Revista Portuguesa de Cirurgia, [S.l.], n. 26, p. 9-19, jan. 2014. ISSN 2183-1165. Available at: <>. Date accessed: 14 june 2024.
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