World scientific research journal
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Volume-38_Issue-1_April-2025
173
ADVANTAGES AND DISADVANTAGES OF SURGICAL
PROCEDURES IN CHRONIC STOMACH ULCERS
Xalimov Aziz Olim o‘g‘li
Bukhara State Medical Institute named after Abu Ali ibn Sino.
Annotation.
This article analyzes research and practical experience on surgical
methods for chronic peptic ulcer disease. The article provides information on the
effectiveness of surgical interventions for patients with chronic peptic ulcer disease
and its possible side effects. Among the achievements are the improvement of the
condition of patients, the reduction of symptoms, and the prevention of major
complications of the disease. The main shortcomings of the procedure were also
discussed in detail, including the risk of infection, the uncertainty of the results of the
operation, and the possibility of recurrence of the disease in some patients. This
analysis emphasizes the necessity of applying the surgical treatment method
according to the correct indications and shows the importance of the final treatment
plan in combination with other treatment methods for improving the overall health of
patients.
Keywords:
Chronic gastric ulcer, gastrointestinal surgery, Helicobacter pylori,
surgery, endoscopy, pharmacotherapy
ПРЕИМУЩЕСТВА И НЕДОСТАТКИ ХИРУРГИЧЕСКОЙ
ПРАКТИКИ ПРИ ХРОНИЧЕСКОЙ ЯЗВЕ ЖЕЛУДКА
Халимов Азиз Олим ўғли
Бухарский государственный медицинский институт имени Абу Али ибн
Сино. Бухара, Узбекистан. e-mail:
Аннотация.
В данной статье анализируются проведенные исследования и
практический опыт хирургических методов лечения хронической язвенной
болезни желудка. В статье представлена информация об эффективности
хирургических вмешательств у пациентов с хронической язвенной болезнью
желудка и ее возможных побочных эффектах. Среди достижений - улучшение
состояния пациентов, уменьшение симптомов и предотвращение крупных
осложнений заболевания. Также подробно обсуждаются основные недостатки
операции, включая риск инфекции, неопределенность результатов операции и
вероятность рецидива у некоторых пациентов. Данный анализ подчеркивает
необходимость применения метода хирургического лечения по правильным
показаниям и показывает важность окончательного плана лечения в сочетании
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Volume-38_Issue-1_April-2025
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с другими методами лечения для улучшения общего состояния здоровья
пациентов.
Ключевые слова:
Хроническая язва желудка, гастроинтестинальная
хирургия, Helicobacter pylori, хирургия, эндоскопия, фармакотерапия
SURUNKALI OSHQOZON YARASIDA JARROHLIK
AMALIYOTINING YUTUQ VA KAMCHILIKLARI
Xalimov Aziz Olim o’g’li
Abu Ali ibn Sino nomidagi Buxoro davlat tibbiyot instituti.
Annotatsiya.
Ushbu maqola surunkali oshqozon yara kasalligining jarrohlik
usullari bo'yicha o'tkazilgan tadqiqotlarni va amaliyot tajribalarini tahlil qiladi.
Maqolada, surunkali oshqozon yarasi kasalligi bilan og'rigan bemorlar uchun
jarrohlik amaliyotlarining samaradorligi va uning mumkin bo'lgan nojo'ya oqibatlari
haqida ma'lumotlar keltirilgan. Yutuqlar orasida bemorlarning holatini yaxshilash,
simptomlarni kamaytirish va kasallikning yirik asoratlarini oldini olish ko'rsatilgan.
Shuningdek, amaliyotning asosiy kamchiliklari, jumladan, infektsiya xavfi, jarrohlik
natijalarining noma'lumligi va ba'zi bemorlarda kasallikning qaytalanish ehtimoli
haqida ham batafsil to'xtalib o'tilgan. Ushbu tahlil, jarrohlik davolanish usulining
to'g'ri ko'rsatmalarga asosan qo'llanilishi zarurligini ta'kidlaydi va bemorlarning
umumiy
sog'lig'ini
yaxshilash
uchun
boshqa
davolash
usullari
bilan
kombinatsiyalangan yakuniy davolanish rejasining ahamiyatini ko'rsatadi.
Kalit so’zlar
Surunkali oshqozon yarasi, gastrointestinal jarrohlik, Helicobacter
pylori, jarrohlik, endoskopiya, farmakoterapiya
Chronic peptic ulcer disease (CHUL) is one of the most widespread and serious
problems affecting healthcare systems worldwide. This disease is characterized by
the formation of ulcers on the gastric mucosa. The ulcerative process occurs in the
inner layer of the stomach, which over time can lead to complications, such as
bleeding, perforation (piercing of the stomach wall), and suppuration of the stomach.
The occurrence of SOI depends on various factors, including bacterial infection
(mainly Helicobacter pylori), overeating, alcohol consumption, stress, and other
genetic or environmental factors.
Chronic peptic ulcer disease not only reduces the patient's quality of life, but also
places a great strain on the healthcare system. Treatment costs associated with this
disease, the duration of treatment, and measures aimed at preventing complications
lead to economic and social problems in many countries. In modern medicine, several
approaches are used in the treatment of COPD. Drug treatment is carried out primarily
with the help of antibiotics and agents that reduce stomach acid, aimed at eliminating
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Volume-38_Issue-1_April-2025
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Helicobacter pylori infection. However, at the same time, surgical interventions may
sometimes be necessary, especially in cases of disease complications or drug
resistance. Surgical methods are especially used in cases of perforation of the stomach
or bleeding. Their purpose is to restore the damaged part, remove the infection, or
eliminate the resulting complications.
However, there are some pressing problems in resorting to surgical methods.
Most importantly, such interventions can worsen the patient's general condition or
cause additional complications. For example, partial or complete gastrectomy
operations can complicate the patient's recovery process and lead to long-term
complications, such as changes in the digestive system and impaired absorption of
vitamins and minerals. Moreover, surgical methods are expensive and complex
operations, placing a significant financial burden on healthcare systems. Mitigation
of wounds and improvement of non-surgical treatment methods can provide effective
solutions in managing such diseases. In recent years, approaches such as non-irritant
therapy, stress management, and lifestyle changes, along with medications, have been
rapidly developing in the treatment of COI. This helps reduce the need for surgical
interventions for patients.
At the same time, surgical methods become necessary in serious complications
or complex cases. Therefore, it is necessary to assess each case individually and take
into account the patient's general condition. The use of interdisciplinary approaches
and modern medical technologies in the complex treatment of COPD is of great
importance.
Chronic peptic ulceration is mainly caused by damage to the mucous membrane
of the stomach and the inner layers of the duodenum. Several factors influence the
development of the disease, including:
• Helicobacter pylori infection
• Nonsteroidal anti-inflammatory drugs
• Alcoholic beverages and poor diet
• Genetic factors
These factors disrupt the protective mechanisms of the stomach, leading to
inflammation of the gastric mucosa and the formation of ulcers.
The need for surgical interventions for chronic gastric ulcer varies depending on
the development of the disease. Surgical intervention is indicated in the following
cases:
1. Bleeding: If a stomach ulcer leads to serious bleeding, surgical intervention
may be necessary.
2. Perforation: The wound ruptures the stomach wall and damages internal
organs.
3. Structural disorders: If there is a problem with wound structure, such as
complications such as gastritis or duodenitis.
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In the surgical treatment of gastric ulcers, the following methods are most often
used:
• Vagotomy: Damage to a portion of the vagus nerve to reduce stomach acid
production.
• Gastrectomy: Removal of a part of the stomach or cleansing it of inflammation.
• Endoscopic surgery: A minimally invasive method for treating stomach ulcers
using an endoscope.
Risk of recurrence of surgical interventions: In some patients, postoperative
gastric ulcer recurrence is possible. This condition may be related to the patient's diet,
health status, and specific genetic characteristics.
Complications and complications: After surgery, complications associated with
infections, internal bleeding, and restoration of the gastric mucosa may occur.
New Technologies and Methodologies: In recent years, new surgical methods
such as robotic surgery and laser technologies have become popular. These methods
can accelerate the patient's recovery process, but they are still not widely used and
can cause discomfort for some patients.
Post-Surgical Rehabilitation: The rehabilitation process is crucial for the
patient's full recovery after surgery. However, for some patients, the recovery process
can be difficult, and they require additional medical assistance.
The role of surgical interventions in patients with chronic peptic ulcer is
invaluable, since their inflammatory processes and complications can cause serious
medical problems. However, there are a number of complex problems in ensuring the
effectiveness and safety of surgical operations. New technologies and advanced
methodologies play an important role in solving these problems.
Today, the effectiveness of surgical interventions depends not only on the
perfection of surgical technique, but also on such factors as the individual needs of
the patient, the general state of health, and previously existing diseases. Therefore,
surgical interventions require an individual approach. New technologies, including
robotics, laser surgery, and minimally invasive surgical methods, make surgical
procedures much safer and more efficient. Also, with the help of advanced diagnostic
tools, the possibility of a complete preoperative analysis has increased, which will
help the surgeon develop a more accurate and effective treatment plan. At the same
time, new methodologies play an important role in monitoring patients in the
postoperative period and monitoring their recovery process. All this is of great
importance in the development and implementation of safe and effective treatment
methods for patients. In the future, with the help of clinical studies and new scientific
research, it is expected to develop effective methods that will contribute to the further
improvement of surgical operations and the reduction of complications associated
with gastric ulcers. This, in turn, significantly improves the quality of life of patients.
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