%0 Journal Article
%T Resultados del tratamiento de la ¨²lcera p¨¦ptica perforada Treatment of performed peptic ulcer: Results
%A Enrique Flores Miranda
%A Enrique Adri¨¢n Flores Delgado
%J Revista Cubana de Cirug¨ªa
%D 2009
%I Editorial Ciencias M¨¦dicas
%X INTRODUCCI¨®N. En nuestro hospital la ¨²lcera p¨¦ptica perforada tiene una elevada morbilidad y mortalidad, mayor del 20 % en los ¨²ltimos 5 a os, lo que nos motiv¨® a realizar este trabajo. M¨¦TODOS. Se realiz¨® un estudio descriptivo y prospectivo de los pacientes tratados por ¨²lcera p¨¦ptica perforada en el Servicio de Cirug¨ªa General del Hospital Universitario  Manuel Ascunce Domenech  de Camag¨¹ey, durante los a os 2006 y 2007. RESULTADOS. La ¨²lcera p¨¦ptica perforada predomin¨® en los hombres entre 40 y 59 a os de edad. El 41,2 % ten¨ªan antecedentes de ¨²lcera p¨¦ptica, aunque solo la mitad recib¨ªa tratamiento m¨¦dico. La mayor¨ªa de los pacientes fueron atendidos entre 13 y 24 h del inicio de su cuadro cl¨ªnico, y hubo pocos casos de shock, deshidrataci¨®n u otra enfermedad grave asociada. La ¨²lcera duodenal perforada fue la m¨¢s frecuente (67,6 %) y la sutura y la epiploplastia fueron las t¨¦cnicas quir¨²rgicas m¨¢s usadas. La mortalidad fue del 5,9 %, debida a falla m¨²ltiple de ¨®rganos y sepsis respiratoria grave. CONCLUSIONES. El ¨ªndice de complicaciones y la mortalidad en nuestra serie fueron bajos, dada la adopci¨®n de medidas encaminadas a tratar adecuadamente el shock y las enfermedades graves asociadas, a disminuir el tiempo preoperatorio y a revisar las t¨¦cnicas quir¨²rgicas empleadas, incluido el lavado peritoneal. INTRODUCTION: In our hospital, performed peptic ulcer has a high morbidity and mortality, greater than 20% during last 5 years, motivating us to perform this paper. METHODS: Authors made a prospective and descriptive study of patients treated by performed peptic ulcer in General Surgery Service of "Manuel Ascunce Domenech" University Hospital of Camaguey province during 2006 and 2007. RESULTS: Perforated peptic ulcer had a predominance in men aged between 40 and 59. The 41, 2% of them had backgrounds of peptic ulcer although only half received medical treatment. Most of patients were seen between 13 and 24 hours of clinical picture start, and there were few shock cases, dehydration or another associated severe disease. Perforated peptic ulcer was the more frequent (67, 6%) suture and epiploplasty, were the more used surgical techniques. Mortality was of 5,9% due to multiple organ failure and severe respiratory sepsis. CONCLUSIONS: Index of complications and mortality in our series were low, according to application of measures aimed to treat properly shock and the associated severe diseases, to decrease preoperative time, and to review surgical techniques used, including peritoneal lavage.
%K ¨²lcera p¨¦ptica perforada
%K cuadro cl¨ªnico
%K localizaci¨®n
%K tratamiento
%K mortalidad.
%K Perfored peptic ulcer
%K clinical picture
%K localization
%K treatment
%K mortality
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932009000200005