Article Sidebar

PDF
Issue: Vol. 561 No. 3 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v561i3.18493
Date Published: 11/08/2026
Views 32
Downloads 26
How to Cite
Thái, N. H., & Phan, V. C. (2026). THE CLINICAL CHARACTERISTICS,RISK FACTORS AND SURGICAL RESULTS OF GASTRODUODENAL ULCER COMPLICATIONS IN ONCOLOGIC PATIENTS. Vietnam Medical Journal, 561(3). https://doi.org/10.51298/vmj.v561i3.18493

THE CLINICAL CHARACTERISTICS,RISK FACTORS AND SURGICAL RESULTS OF GASTRODUODENAL ULCER COMPLICATIONS IN ONCOLOGIC PATIENTS

Nguyên Hưng Thái1, , Văn Cương Phan2
1 Bệnh viên K
2 Trường Đại học Y Dược Thái Bình

Main Article Content

Abstract

1. Aim of study:


1.1. Evaluattion of the clinical characteristics, risk factors of gastroduodenal ulcer complications in oncologic patients.


1.2. The surgical results of gastroduodenal ulcer complications.


2. Patients and methodt: retrospective study.


3. Results


There were 32 patients, male 96,9%, female  3,1%; mean age 58,97±1,72 year. Medical history: Gastroduodenal ulcer in  37,5%;  Oncologic diseases in 53,1%. Proportion of gastro-duodenal ulcer perfogation was  62,5%; gastro-duodenal ulcer bleeding was 34,4%;  gastric outlet obstruction was 3,1%. Diameter of duodenal ulcer perfogation was 1,98±0,99 cm;  Diameter of gastric ulcer perfogation was 2,15± 0,75 cm; Diameter of gastrojejunal annastomosis perfogation was 1,33±1,44 cm.


The mean diamerter of bleeding duodenal ulcer was 2,58±0,91; The mean diamerter of bleeding gatric ulcer was 3,25±0,35 cm. Surgical procedure: Laparoscopic suture of duodenal perforation in 44,4 %; Suture of duodenal perfogation in 88,8% (2 patients performed suture  plus gastroduodenal anastomosis); 2/3 gastrectomy in 11,1%.


For gastrojejunal annastomosis perfogation: suture in 1 patient; subtotal gastrectomy in 2 patients.


For bleeding group: 2/3 gastrectomy plus duodenostomy in 5/9 patients (55,6%); Suture for hemostasis and 2/3 gastrectomy and duodenostomy in 11,1%; Suture for hemostasis plus gastroduodenal anastomosis. Sutotal gastrectomy in 100% for gastric ulcer bleeding. There were  2 deaths post operation (6,5%). Complication in 12,5%.


4. Conclusion:


We concluded that:


For duodenal ulcer perfogation: 2/3 gastrectomy should be done if Test HP (-) or reccurent ulcer despite triple therapy.


For gastric perfogation:  Distal gastrectomy should be consisder if closure is difficult and the patient sufficiently fit and the surgeon sufficiently experienced. 


For duodenal ulcer bleeding: 2/3 gastrectomy with duodenal ulcer excison is procedure of choice. Suture for hemostasis plus gastroduodenal anastomosis  could be rebleeded with high incidence.

Keywords

Perfogation of gastroduodenal ulcer

Article Details

References

1. Nguyễn Hữu Trí. Nghiên cứu ứng dụng phẫu thuật nội soi một cổng khâu lỗ thủng ổ loét tá tràng. Luận án Tiến sỹ Y học Huế 2017.
2. Ngô Minh Nghĩa. Đánh giá kết quả sớm trong điều trị thủng ổ loét dạ dày tá tràng bằng phẫu thuật nội soi. Luận án chuyên khoa cấp 2, Huế 2010.
3. Lehnert et al. Two stage radical gastrectomy for perforated gastric cancer. EUR. J Surg Oncol 26: 780-784 .2000.
4. Chung KT, Shelat VG. Perforated peptic ulcer-an update. World J gastrointestinal Surg. (2017)8:1-127; 14: 86-91.
5. Huỳnh Hiếu Tâm. Nghiên cứu hiệu quả của tiêm hoặc kẹp cầm máu qua nội soi phối hợp với thuốc ức chế bơm proton liều cao tĩnh mạch ở bệnh nhân xuất huyết tiêu hóa do loét dạ dày tá tràng. Luận án Tiến Sỹ Y Học Huế 2019.
6. Leeman et al. The management of perfogated gastric ulcer. Int J Surg.(2013)11: 322-44.
7. Zittel TT et al. Surgical management of peptic ulcer diease today-indication, technique and outcome. Langenbeck Arch Surg. (200) 385:34-
8. Hennessy E. Perforated peptic ulcer mortality and morbility in 603 cases. Australia NZ J Surg.(1969) 38: 243