SURGICAL TREATMENT OF CHRONIC PEPTIC ULCER .

Abstract

Peptic ulcer disease is a common ailment, and both direct and indirect cost of diagnosis and treatment are attributable to loss of work and impair quality of life of the patient.

Surgery of chronic peptic ulcer passed into stages of refinement, starting by gastrectomy operations and ending by the conservative and more sophisticated procedures. •

The history and evolution of the surgical treatment of peptic ulcer disease have been reviewed.

ln this research we studied the short and long-term outcome of surgical treatment of chronic duodenal ulcer for 30 patients admitted in our hospital in the period between June 1993 to December 1997.

Pre and post-operative clinical assessment and endoscopy were done for all the 30 patients whom included in this thesis, there was no mortality in this study, and the post-operative complications - in the whole - were minimal.

The endoscopy done as follow up post-operative reviled the picture of stomal (marginal) ulcer in 4 patients all were treated medically with good results so we recommend medical treatment in recurrent ulceration as it is usually attributable to the bad habits of smoking, spicy foods and spirits. And on another hand the great evolution of medical disease as proton pump inhibitors and H2 blockers.