caa a22 4500 477036325 CHVBK 20180405111306.0 cr unu---uuuuu 170330e19960601xx s 000 0 eng 10.1007/s002689900089 doi (NATIONALLICENCE)springer-10.1007/s002689900089 Acute Surgical Treatment of Complicated Peptic Ulcers with Special Reference to the Elderly [Elektronische Daten] [Orhan Bulut, Christian Rasmussen, Anders Fischer] The results of 136 consecutive patients treated surgically for the acute complications of peptic ulcers between 1990 and 1993 are reviewed. All patients required emergency operation. Among 136 patients, 91 had perforations, 42 hemorrhage, and 3 a penetrated peptic ulcer. The median age was 77 years; 65% were women; and 83% were more than 60 years old. Concurrent disease requiring medical treatment were present in 92 patients; 79 patients (58%) were currently or recently taking antiinflammatory drugs at the time of admission; 66% of the patients had duodenal ulcer. Only 46 patients (34%) had no postoperative complications; pneumonia, arrhythmia, bleeding, and septic complications were the most frequent. The overall mortality was 30%. Sepsis and multiple organ failure was the leading cause of death in most of the patients. It was concluded that elderly individuals using two or more antiinflammatory drugs should be considered potential peptic ulcer patients and should be treated prophylactically with ulcer-healing drugs. Société Internationale de Chirugie, 1996 Bulut Orhan Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut Rasmussen Christian Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut Fischer Anders Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut World Journal of Surgery Springer-Verlag 20/5(1996-06-01), 574-577 0364-2313 20:5<574 1996 20 268 https://doi.org/10.1007/s002689900089 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900089 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bulut Orhan Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut NATIONALLICENCE 700 1- Rasmussen Christian Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut NATIONALLICENCE 700 1- Fischer Anders Department of Gastrointestinal Surgery, Gentofte Hospital, University of Copenhagen, DK-2900, Hellerup, Denmark aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 20/5(1996-06-01), 574-577 0364-2313 20:5<574 1996 20 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer