Tactics of the surgical treatment of patients with ulcer disease of the elderly and senile complicated with ulcer perforation

In the age group over 60, surgeons are faced exclusively with complicated forms of peptic ulcer, which undoubtedly worsens the results of surgical treatment. Surgical intervention in patients with peptic ulcer complicated by ulcer perforation is the only life-saving method. The choice of the method of surgical intervention in elderly and senile patients with duodenal ulcers has not been finally resolved. In the surgical treatment of peptic ulcer in elderly and senile patients, surgeons began to use excision of the ulcer with removal of the periulcerous infiltrate, followed by pyloro- or duodenoplasty and postoperative eradication therapy, which gives favorable results in the immediate and immediate postoperative period. Objective: To improve the tactics of surgical treatment of patients with peptic ulcer of elderly and senile age, complicated by perforation of the ulcer. The results of surgical treatment of patients with perforated pyloroduodenal ulcers among elderly and senile patients were subjected to clinical analysis. sex, age, nosological forms, disease severity and complications. Conclusions: The proposed surgical tactics for choosing the method of surgical intervention for perforated pyloroduodenal ulcer in elderly and senile patients can reduce complications in the postoperative period.