Peptic ulcer disease: conception of treatment strategy
Treatment strategy conception of peptic ulcer disease is presented. The notion is characterized by combination of con-servative and surgical management for peptic ulcer population of the region, the country. Though the priority of conservative methods for some groups of patients in obvious there is a necessity of preventive surgery. The number of surgical patients is deter-mined by the clinical epidemiological data of peptic ulcer population heaviness and peptic ulcer surgery in the region and the country. Describing Belarus and NIS and some other highly developed countries the author states that the excessive reduction of planned surgery supports the over-level of the urgent one. So the optimum level of planned surgery provides the minimum lethal-ity and loss of life quality. Thus the optimal peptic ulcer treatment strategy is to minimize the frequency of urgent surgery in the region and the country. It can be possible only due to the propriate combination of conservative treatment and planned surgery. Today the necessity in peptic ulcer surgery in NIS is three times higher than in developed countries.