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Læknablaðið - 15.06.1998, Side 23

Læknablaðið - 15.06.1998, Side 23
LÆKNABLAÐIÐ 1998; 84 473 bilinu 5-48% (2,5,16,22,29,30). En það er í samræmi við hærri aldur sjúklinga með rofsár auk annarra alvarlegra meðfylgjandi sjúkdóma. Þá ályktun má draga af framanskrifuðu, að sjúklingar sem koma inn á sjúkrahús með rof- sár á maga og skeifugörn eru að stórum hluta aldraðir og hafa aðra alvarlega sjúkdóma. Það vekur athygli að enginn 22 sjúklinga sem tóku bólgueyðandi gigtarlyf var á verndandi með- ferð með magalyfjum. Kviðsjáraðgerð við rof- sári á maga og skeifugarnarsári er sambærileg við opna aðgerð. Við höfum snúið tæplega helmingi kviðsjáraðgerða í opna aðgerð á þess- um tíma. En meðferð með kviðsjáraðgerð virð- ist stytta og einfalda gang eftir aðgerð og vafa- laust mun takast að ljúka æ fleiri aðgerðum með kviðsjá í framtíðinni með betri tækni og æfingu. HEIMILDIR 1. Cueto J, Weber A, Serrano F. Laparoscopic treatment of perforated duodenal ulcer. Surg Laparosc Endosc 1993; 3: 216-8. ' 2. Suter M. Surgical treatment of perforated peptic ulcer, is there a need for a change? Acta Chir Belg 1993; 93: 83-7. 3. Champault GG. Laparoscopic treatment of perforated peptic uicer. End Surg 1994; 2: 117-8. 4. Thors H, Sigurðsson H, Oddson E. Þjóðleifsson B. Að- gerðir vegna sársjúkdóms í maga og skeifugöm. Lækna- blaðið 1994; 80: 179-84. 5. Kaushik SP, Sikora SS. Perforated duodenal ulcer: is definitive surgery warranted? Ind J Gastroenterol 1993; 12: 75-6. 6. Darzi A, Declan Carey P, Menzies-Gow N, Monson JRT. Preliminary result of laparocopic repair of perforated duodenal ulcers. Surg Laparosc Endosc 1993; 3: 161-3. 7. Ananthakrishna N, Angami K. Is ulcer recurrence after smple closure of perforated duodenal ulcer predictable? Ind J Gastroenterol 1993; 12:80-2. 8. Matsuda M, Nishiyama M, Hanai T, Saeki S, Watanabe T. Laparoscopic omental patch repair for perforated peptic ulcer. Ann Surg 1995; 221: 236-40. 9. Savage RL, Moller PW, Ballantyne CL, Wells JE. Varia- tion in the risk of peptic ulcer complications with nonste- roidal antiinflammatory drug therapy. Arthritis Rheum 1993; 36: 84-90. 10. Bateman DN. NSAIDs: time to re-evaluate gut toxicity (letter). Lancet 1994; 343: 1051-2. 11. Thompson AR, Hall TJ. Anglin BA, Scott-Conner CEH. Laparoscopic plication of perforated ulcer: Results of a selective approach. South Med J 1995; 88: 185-9. 12. Bretagne JF, Raoul JL. Management of nonsteroidal anti- inflammatory drug-induced upper gastrointestinal blee- ding and perforation. Dig Dis 1995; 13/Suppl. 1: 89-105. 13. Siu WT, Leong HT, Li MKW. Single stitch laparoscopic omental patch repair of perforated peptic ulcer. J R Coll Surg Edinb 1997; 42: 92-4. 14. Blomberg LGM. Perforated peptic ulcer: Long-term Re- sults after Simple Closure in the Elderly. World J Surg 1997;21:412-5. 15. Urbano D, Rossi M, De Simone P, Berloco P, Alfani D, Cortesini R. Alternative laparoscopic management of perforated peptic ulcers. Surg Endosc 1994; 8: 1208-11. 16. Svanes C, Salvesen H, Stangeland L, Svanes K, Spreide O. Perforated peptic ulcer over 56 years. Time trend in patients and disease characteristics. Gut 1993; 34: 1666-71. 17. Reinbach DH, Cruickshank G, McColl KEL. Acute perfo- rated duodenal ulcer is not associated with Helicobacter pylori infection. Gut 1993; 34: 1344-7. 18. Wolfe F. The Epidemiology of NSAID Associated Gas- trointestinal Disease. Eur J Rheumatol Inflamm 1991; 11: 12-28 19. Glarborg Jprgensen T. Drug consumption before perfora- tion of peptic ulcer. Br J Surgl977; 64: 247-9. 20. Graham DY. Nonsteroidal Anti-Inflammatory Drugs, Helicobacter pylori, and Ulcers: Where we stand. Am J Gastroenterol 1996; 91: 2080-5 21. Jibril JA, Redpath A, Macintyre IMC. Changing pattern of admission an doperation for duodenal ulcer in Scotland. Br J Surg 1994; 81: 87-9. 22. Wakyama T, Ishizaki Y, Mitsusada M, Takahashi S, Wada T, Fukushima Y, et al. Risk factors influencing the short- term results of gastroduodenal perforation. Surgery Today, JpnJSurg 1994; 24: 681-7. 23. Mouret P, Fran?ois Y, Vignal J, Barth X, Lombard-Platet R. Laparoscopic treatment of perforated peptic ulcer. Br J Surg 1990; 77: 1006 24. Sunderland GT, Chisholm EM, Lau WY, Chung SCS, Li AKC. Laparoscopic repair of perforated peptic ulcer. Br J Surg 1992; 79: 785. 25. Benoit J, Champault GG, Lebhar E, Sezeur A. Suturless laparoscopic treatment of perforated duodenal ulcer (letter). BrJ Surg 1993; 80: 1212. 26. Isaac J, Tekant Y, Kiong KC, Ngoi SS, Goh P. Laparo- scopic repair of duodenal ulcer. Gastrointest Endosc 1994; 40: 68-9. 27. Dobemeck RC. Limited operation for bleeding or perfora- ted gastric ulcer in high risk patients. Am Surg 1993; 59: 472-4. 28. Hewitt PM, Krige J, Bornman PC. Perforated gastric ul- cers: Resection compared with simple closure. Am Surg 1993; 59:669-73. 29. Paimela H, Joutsi T, Kiviluoto T, Kivilaakso E. Recent trend in mortality from peptic ulcer disease in Finland. Dig Dis Sci 1995; 40: 631-5. 30. Lehnert T, Herfarth C. Peptic ulcer surgery in patients with liver cirrhosis. Ann Surg 1993; 27: 338-46. 31. Wu CW, Kung SP, Liu M, Hsieh MJ, Lui WY, P’eng FK. Gastrojejunal disconnection in the presence of purulent peritonitis as an alternative approach in gastroduodenal operations. Surg Gynecol Obstet 1993; 177: 188-90.

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