KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT XUẤT HUYẾT TIÊU HÓA DO LOÉT DẠ DÀY –TÁ TRÀNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

Study aims: Description of the clinical, paraclinical characteristics and evaluate treatment of gastrointestinal bleeding due to gastric and đuoenal ulcers at Viet Duc Hospital. Patient and Method: This was a retrospective descriptive study from January 2019 to December 2022, including 12 patients diagnosed with upper gastrointestinal bleeding due to gastric and duodenal ulcers and treated at Viet Duc Hospital. Results: The mean age of the study was 59,8 ± 19,1 years, with a peak incidence in the age group of 50-79 years, a male/female ratio of 2,0. The most common occupation was white-collar workers, accounting for 42.1%. The most common clinical symptom was black stool and upper abdominal pain, accounting for 91,6%. A total of 24.7% of patients requiring intervention had symptoms of shock due to blood loss on admission. The most common time of recurrent bleeding was before 72 hours, accounting for 81.8% in the intervention group. The most common lesion in the surgical group was Forrest IB ulcer (41,6%), location at the small curvature (66,7%) and anterior wall of the duodenum (36,4%), and ulcer size > 2 cm (88,9%). Four surgical methods were performed in succession: distal gastrectomy (63.6%), hemostatic suture with vagotomy (27.3%), and ulcer resection (9.1%). The mortality rate of the surgery method is 1/12 (8,3%). The most common postoperative complications were duodenal stump leak (27.3%), recurrent ulcer (18.2%), and recurrent bleeding (9.1%). The average length of hospital stay for the surgical method was 10.67 days. Conclusion: Upper gastrointestinal bleeding due to gastric and duodenal ulcers is a serious complication and accounts for the highest percentage of complications in gastric and duodenal ulcer diseases. Surgery for upper gastrointestinal bleeding has a high mortality rate and many serious complications, the most common being duodenal stump leak, and the length of hospital stay is also longer.