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Management of recurrent peptic ulcer perforation: problem-focused or definitive surgery?
1Sisli Etfal Training and Research Hospital, Department of General Surgery, Istanbul, Turkey.
Abstract:
The combination of modern antisecretory drugs and eradication of Helicobacter pylori has changed the treatment options for peptic ulcer patients in favour of conservative therapy. Surgical approach which is used to be main treatment option has become now exceptional for uncomplicated gastroduodenal ulcers. However, it includes fixing the problem leaving the origin of the problem. We presented a peptic ulcer patient with recurrent attacks of ulcer perforation and discussed the surgical approach to these complicated cases.
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