Surgical Treatment of Stomach Ulcer in Dnipro


Introduction A stomach ulcer is characterized by the formation of a defect in the wall of the hollow organ due to an inflammatory process and other factors. Ulcers can vary in size and depth, and they tend to grow progressively, often leading to serious complications. According to statistics, peptic ulcer disease is found in 5% of the adult population aged 30-40 years. Men are more prone to this condition.

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Causes of Stomach Ulcers

There are many causes of stomach ulcers, but at the core of the pathology is the loss of the balance between the aggressive nature of stomach acid and the protective properties of the mucous membrane. This condition can arise from:

  • Chronic stress and nervous strain;
  • Endocrine gland dysfunction;
  • Chronic stomach diseases (gastritis);
  • Alcohol abuse, fatty, spicy, and fried foods;
  • Eating behavior disorders (fasting, overeating, etc.);
  • Coexisting diseases (hepatitis, cirrhosis, etc.);

Excessive activity of Helicobacter pylori bacteria; Additionally, there are risk factors that can trigger the development of peptic ulcer disease, including:

  • Heredity (described mechanism of inheritance of the pathology);
  • Blood type O;
  • Adverse environmental conditions;
  • Head trauma;
  • Smoking;
  • Asthenic constitution of the body, and others.

When Is Surgical Intervention Needed?

When diagnosed early, peptic ulcer disease can be successfully treated with conservative methods. In some cases, patients may not seek medical help, which leads to complications that require immediate surgical intervention. Surgery is necessary when the following symptoms occur:

  • Sharp, stabbing, or dagger-like pain in the abdomen (usually occurs at night);
  • Vomiting with blood;
  • Elevated body temperature;
  • Rapid deterioration in general health, loss of consciousness.

In such cases, doctors may suspect a perforated ulcer with internal bleeding, which requires urgent surgery.

Additionally, surgical treatment may be indicated in the following cases:

  • Recurring bleeding from the ulcer;
  • Multiple ulcers;
  • Malignancy (transformation into a malignant tumor);
  • Formation of scars that impede normal digestion;
  • Frequent recurrence of ulcers;
  • Ineffectiveness of conservative treatment;
  • Narrowing of stomach sphincters;
  • Risk of perforation.
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Diagnosis of Stomach Ulcer

The primary method for accurately diagnosing a stomach ulcer is EGD (esophagogastroduodenoscopy), during which a special probe is used to visually examine the condition of the stomach's mucous membrane. To confirm the diagnosis, doctors at the "Helyos" clinic may refer the patient for additional tests:

  • Measurement of stomach acid levels;
  • Helicobacter pylori testing;
  • Ultrasound (US);
  • CT with contrast;
  • X-rays, and others.

After thorough diagnostics, the doctors will establish a final diagnosis and determine whether surgical treatment is necessary for the stomach ulcer.

Types of Surgeries for Stomach Ulcers

The type of surgery required for a stomach ulcer depends on the severity of the patient's condition. In the presence of complications (perforated ulcer, internal bleeding), urgent surgical assistance is needed, as this condition is life-threatening. In such cases, open surgery is performed: the front abdominal wall is incised, and the stomach is visualized, with the defect closed. Depending on the size, location, and number of ulcers, doctors may perform the following procedures:

  • Simple suturing of the ulcer defect. This is used for ulcers up to 3 cm without signs of malignancy;
  • Resection of the ulcer with part of the affected stomach using Billroth I or II method, followed by suturing healthy tissues;
  • Cutting of the branches of the vagus nerve (vagotomy), which stimulates the secretion of hydrochloric acid.

For planned surgeries, a laparoscopic approach is used. Small incisions are made in the front abdominal wall, through which micro-instruments with cameras are introduced. This method is the least traumatic, very precise, and ensures rapid patient recovery.

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Preparation for Surgery

Before stomach surgery, a comprehensive health examination is required. Initially, the patient will receive consultations from a therapist and surgeon, who will then refer them for the following tests:

  • Complete blood count;
  • Urinalysis;
  • Coagulation test;
  • Hepatitis B and C tests;
  • Wassermann reaction;
  • Biochemical blood test;
  • HIV test, and others.

Before surgical intervention, organ function examinations are mandatory. These include:

  • ECG;
  • Fluorography;
  • Abdominal ultrasound;
  • Blood pressure and pulse measurements;
  • Biopsy (if indicated).

If necessary, consultations with related specialists and additional diagnostic methods may be recommended. Immediately before a planned surgery, a light diet and bowel cleansing are recommended. If the patient develops a terminal condition due to complications, some tests may be omitted.

Advantages of Surgical Treatment for Stomach Ulcers at the "Helyos" Clinic

Highly qualified surgeons at the "Helyos" clinic have been successfully treating stomach diseases for many years. The medical center in Dnipro is equipped with modern European equipment and uses innovative methods for accurate diagnostics and the right treatment approach. For each patient, our doctors apply an individual and comprehensive approach that ensures rapid recovery and a positive prognosis.

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Prices

Surgeon consultation
800 UAH
Online surgeon consultation
800 UAH
Surgeon consultation (Dr. of Medical Sciences)
1100 UAH
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