With duodenal ulcer surgery is an extreme method of treatment, which is used only if there are obvious medical indicators, among which there is a lack of positive dynamics in conservative therapy. It should be taken responsibly to the doctor's decision to prescribe surgical treatment. The patient does not need to delay the operation of the duodenal ulcer, since this can be dangerous for the patient's life.
However, in addition to indications, there are contraindications. One of the most important contraindications to suturing an ulcer of the duodenum is the fear of having a slowly developing cancerous tumor if it is impossible to verify this accurately. Even the increasingly popular use of oncomarkers, although it allows us to determine a cancerous tumor that develops against the background of duodenal ulcer, nevertheless, it is not possible to achieve 100% confidence.
Therefore, the doctor at the slightest suspicion begins to look for various metastatic lesions in surrounding organs and lymph nodes. A similar pattern is observed when the ulcers grow into neighboring organs, and this can cause the specialist to refuse to hold the suturing until the full picture is clarified.
If the cancer is confirmed, the operation becomes possible only if the patient has a life threat. That is, with such indications as:
- rapidly progressive stenosis( scarring);
- bleeding;
- penetration;
- perforation.
It should be noted that these same complications and ineffectiveness of conservative treatment are indications for the operation and without suspicion of a cancerous tumor. Especially dangerous are heavy bleeding and perforation, as they require urgent and often unscheduled surgical intervention.
Rehabilitation after operation of duodenal ulcer
The main principle of rehabilitation after surgery is early activation of the patient, including therapeutic and respiratory gymnastics. With their correct application, it is possible to prevent the development of complications and activate the processes of body regeneration.
So by the end of the first day after the operation, in the absence of complications, the patient is engaged in a session consisting of passive exercises. On the second day, you can already assign active exercises, and on the third day - to vertize the patient. If in the future there are no complications, then in a week you can remove the stitches, and after two - to write sick from the hospital.
Nutrition after surgery
Dietary nutrition plays an important role in the recovery process of patients after the operation of duodenal ulcers. On the first day, the patient does not have anything to eat. On the second day they are given a half cup of water, but not immediately, and in small portions on a teaspoonful. On the third day, the amount of liquid is increased to half a liter of water / tea or broth. By the fourth day, the patient is allowed to drink during the day for 9-11 receptions 4 cups of liquid. From the 5th day already you can eat liquid food( scuffed soups) in any quantity. A week later, they allow you to include boiled meat in the diet, and after 3 days the patient can safely switch to diet No. 1.
In the future, doctors recommend adherence to table number 10 for 2-4 years.