Chemodanov P. Diagnosis and surgical treatment of Helicobacter pylori - associated perforated pyloroduodenal ulcers

The thesis is devoted to resolving the actual scientific problems - improve immediate and long-term results of surgical treatment of Helicobacter - associated perforated pyloroduodenal ulcers through improved methods of diagnosis of Helicobacter pylori, surgical interventions and schemes of Helicobacter pylori eradication in the early postoperative period. The methods of surgical treatment of perforated giant duodenal ulcers, including those connected with tubular duodenal stenosis, and juxtapapilar ulcers were improved. Proposed the methods of diagnosis duodeno-gastric reflux in the early postoperative period and diagnosis Helicobacter pylori with its sensitivity to antibiotics determination. It is proved inexpediency of addition standard eradication scheme prescription in patients with perforated gastroduodenal ulcers due to efficiency of conventional peritonitis antibacterial therapy.