30. KẾT QUẢ PHẪU THUẬT NỘI SOI KHÂU Ổ LOÉT HÀNH TÁ TRÀNG THỦNG TẠI BỆNH VIỆN E 2018-2022

Abstract

Objective: The aim of this study was to assess the outcomes of endoscopic surgery for suturing
perforated duodenal bulb ulcers at E Hospital from January 2018 to December 2022.

Research Method: A retrospective study was conducted on 122 patients with perforated duodenal
bulb ulcers who underwent endoscopic suturing at the Department of Gastrointestinal Surgery and
General Surgery, E Hospital , from January 2018 to December 2022

Results: All cases involved a single anterior duodenal bulb perforation. The success rate of
endoscopic suturing for duodenal bulb perforated ulcers was 121 out of 122 cases, with one case
requiring conversion to open surgery. The average surgical duration was 77.55 ± 28.5 minutes, and
no intraoperative complications were recorded. Postoperative pain was low, as evidenced by the
use of pain medication for an average of 2.7 ± 1.8 days. The average time for resumption of bowel
movements was 3.42 ± 1.71 days. There were no cases of gastric output exceeding 500ml per day,
and abdominal drainage was removed after 6.1 ± 2.5 days. 89.4% of patients had follow-up
appointments scheduled for one year after surgery, and 12.3% experienced mild epigastric
discomfort. Late complications included hypertrophic scars (2 cases), stenosis at the anastomotic
site (1 case), recurrent perforation (1 case), and recurrent ulceration at the suture site (5 cases).

Conclusion: Endoscopic surgery for suturing perforated duodenal bulb ulcers offers several
benefits for patients. It is associated with a shorter treatment duration, reduced postoperative pain,
low complication rates, and low mortality rates.