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[Surgical treatment of perforated gastric ulcer]
Milan Korica1, Goran Petaković, Sava Gavrilović
1Klinicki centar Novi Sad, Klinika za abdominalnu i endokrinu hirurgiju, 21000 Novi Sad, Hajduk Veljkova 1-3. miramine@Eunet.yu
Insights
Nonresection surgical procedures are effective for treating perforated peptic ulcers, offering a lower mortality rate. This approach, combined with medication and H. pylori eradication, is recommended for gastric ulcer perforation.
Area of Science:
- Gastroenterology
- Surgical Oncology
Context:
- Peptic ulcer perforation is a serious complication requiring immediate surgical intervention.
- Understanding surgical outcomes for perforated peptic ulcers is crucial for patient management.
Purpose:
- To present surgical treatment experiences for perforated peptic ulcers.
- To evaluate the efficacy of different surgical methods and their outcomes.
Summary:
- A retrospective study analyzed 365 patients with perforated peptic ulcers from 1996-2000.
- Nonresection procedures like simple closure or excision were most common (55.88%, 35.29%).
- Postoperative mortality was 4.41%.
Impact:
- Nonresection surgical procedures are highlighted as the preferred method for gastric ulcer perforation.
- This approach, alongside drug therapy and H. pylori eradication, improves patient outcomes.
Introduction:
Peptic ulcer perforation is a complication of ulcer disease which requires urgent surgical treatment. The aim of this paper was to point out our experience in surgical treatment of perforated peptic ulcer.
Material And Methods:
This retrospective study analyzes results of surgical treatment in 365 patients with perforated peptic ulcer during the period January 1996 to December 2000.
Results:
During the last 5-year period 365 patients were treated following peptic ulcer perforation. The average age was 43.53 +/- 8.26, with the span from 18 to 86. The most frequent surgical procedures in treatment of peptic ulcer perforation were: simple closure with biopsy (55.88%), excision of the ulcer with a pyloroplasty and vagotomy (35.29%) as nonresection surgical procedures and stomach resection after Billroth II (8.83%). The postoperative mortality was 4.41%.
Conclusions:
The methods of choice in surgical treatment of gastric ulcer perforation are nonresection surgical procedures with drug therapy and eradication of Helicobacter pylori, if present.