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Evaluation of the Effectiveness of Longitudinal Incision for Endoscopic Submucosal Excavation of Gastric Subepithelial Lesions
Published on: April 28, 2026
Decreasing need for elective peptic ulcer disease surgery
N Mbah1, W E Opara, O A Adesanya
1Department of Surgery, Usmanu Danfodiyo University Teaching Hospital, P. M. B. 2370, Sokoto, Nigeria. nonsodr@yahoo.co.uk
West African Journal of Medicine
|May 28, 2009
Summary
Surgical treatment for peptic ulcer disease (PUD) is declining, with emergency surgeries increasing relative to elective ones. Advances in medications may eventually make PUD surgery obsolete.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Epidemiology
Background:
- Peptic ulcer disease (PUD) management has shifted due to potent gastric acid suppressors and effective Helicobacter pylori antibiotics.
- The rate of surgical interventions for PUD and its complications has significantly decreased.
Purpose of the Study:
- To audit the experience with peptic ulcer disease and its surgical treatment at a tertiary health institution in Nigeria.
- To analyze trends in surgical PUD management over a five-year period.
Main Methods:
- A retrospective audit of hospital admissions for PUD from January 2000 to December 2004.
- Detailed analysis of case files for patients who underwent surgical treatment, including demographics, clinical data, and outcomes.
- Focus on Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto.
Main Results:
- Out of 624 PUD admissions, only 21 (3%) required surgical treatment.
- The majority of surgical patients (18/21) were male, with ages ranging from 30 to 62 years.
- Emergency procedures constituted 62% of surgeries due to life-threatening complications, with a mortality rate of 4.8%.
Conclusions:
- Elective peptic ulcer surgery has declined, while emergency procedures remain significant.
- The study suggests that medical advancements may eventually render surgical treatment for PUD historical.
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