O actual papel da cirurgia no tratamento da úlcera gastroduodenal

  • Aline Gomes Interna do 6º 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

Resumo

A frequência da cirurgia por úlcera gastroduodenal tem vindo a diminuir nas últimas décadas sendo que o papel da cirurgia no tratamento da úlcera gastroduodenal tem sido remetido para o tratamento das complicações. Os autores propuseram-se a estudar
retrospectivamente o actual papel da cirurgia no tratamento desta patologia entre Janeiro de 2001 e Dezembro de 2010. Neste período foram operados 134 doentes, todos por complicação de úlcera gastroduodenal (83 por perfuração 34 por hemorragia 16 por estenose e 1 doente por intratabilidade). Os doentes eram maioritariamente do sexo masculino (63,4%) e 67,2% não tinham passado ulceroso conhecido. Os hábitos alcoólicos, a medicação com AINE’s e os hábitos tabágicos foram os factores de risco mais prevalentes.
A maioria dos doentes eram ASA 3 e 4. Apenas 36,57% foram submetidos a cirurgia definitiva. A hemorragia comportou maior taxa de complicações, re-intervenção e mortalidade. Relativamente a períodos estudados anteriormente, a intratabilidade médica é hoje uma rara indicação para cirurgia, representando-se como as indicações mais frequentes a perfuração, a hemorragia digestiva e a estenose. O facto de se terem efectuado as intervenções maioritariamente em situação de urgência, associada à idade avançada dos doentes e suas co-morbilidades, poderá ter contribuído para alguns dos resultados desfavoráveis.

Palavras-chave: Úlcera péptica, úlcera gástrica, perfuração de úlcera péptica, hemorragia gastrointestinal, estenose pilórica

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Como Citar
GOMES, Aline et al. O actual papel da cirurgia no tratamento da úlcera gastroduodenal. Revista Portuguesa de Cirurgia, [S.l.], n. 26, p. 9-19, jan. 2014. ISSN 2183-1165. Disponível em: <https://revista.spcir.com/index.php/spcir/article/view/320>. Acesso em: 11 nov. 2019.
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