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Scholars Journal of Applied Medical Sciences | Volume-3 | Issue-05
Medical line of treatment versus surgical approach in the treatment of chronic peptic ulcer
Arunkumar RV, Mohan SVS, Nagashree
Published: Aug. 26, 2015 |
178
112
DOI: 10.36347/sjams.2015.v03i05.001
Pages: 1818-1820
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Abstract
Peptic ulcer disease was one of the major causesof morbidity and mortality until the last decades of the 20th
century. In resent time epidemiological trends started to point to an impressive fall in its incidence due to. the discovery
of effective and potent acid suppressants and antibiotics against Helicobacter pylori. The main aim and objective of this
study is to compare between, conservative medical lines of treatment versus surgical approach in treatment of chronic
peptic ulcer. The present clinical study was carried out at surgical wards of Subbaiah Institute of Medical Sciences and
Research Centre, in the period of March 2014 to March 2015. Patients were selected based on inclusion and exclusion
criteria’s. Following selection of patients, they were subjected to medical line of treatment for 2-3 months with
Omeprazole 40mg, Amoxicillin 1550mg / Clarithromycin 500mg and Tinidazole 1000 mg (7days course in a month
repeated for 2 months) and the cases were followed up for varying length of time. Among 15 cases, 10 cases were treated
successfully with medical line of management. One case had anterior duodenal ulcer perforation for which emergency
laparotomy and closure of perforation was done and other 4 cases underwent posterior gastrojejunostomy with bilateral
truncalvagatomy for peptic ulcer complications like deformed duodenal cap and early signs of pyloric stenosis. The
incidence of surgery in recent years for chronic Peptic Ulcer Disease has reduced because of advent of proton pump
inhibitors and H2 receptor blockers and combination drugs with antibiotics which proved effective against Helicobacter
pylori infection.