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[Perforated ulcer].

T Tønnessen1, E Carlsen

  • 1Kirurgisk avdeling Ullevål sykehus 0407 Oslo. theis.tonnessen@ioks.uio.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 17, 2001
PubMed
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Early surgery for perforated peptic ulcers significantly reduces mortality. Prompt surgical intervention for suspected cases is crucial, avoiding delays from extensive pre-operative examinations to improve patient outcomes.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Emergency Medicine

Context:

  • Perforated peptic ulcer disease presents a significant surgical emergency.
  • Ullevål University Hospital, Oslo, Norway, served as the study location.
  • The study period spanned from 1992 to 1997, reviewing historical data.

Purpose:

  • To review outcomes of patients operated for perforated peptic ulcer.
  • To evaluate the impact of surgical timing on mortality and complications.
  • To assess the effectiveness of different surgical techniques for perforation repair.

Summary:

  • Eighty-four patients with perforated peptic ulcers (duodenal and gastric) underwent surgery.
  • Median symptom-to-admission and admission-to-surgery times were 5 hours.

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  • Surgical repair involved various methods including rafi/tegmentation, with 13 patient deaths and 30 post-operative complications.

    • Impact:

    • Highlights the critical importance of early surgical intervention in reducing mortality from perforated peptic ulcers.
    • Recommends immediate surgical management for suspected cases, emphasizing the need to bypass time-consuming diagnostic procedures.
    • Provides insights into surgical management strategies and outcomes for perforated peptic ulcer disease.