[Our experience with the treatment of duodenal perforation with suture]

The Authors report their experience in the treatment of perforated duodenal ulcer retrospectively analysing 42 patients treated with simple suture on emergency. Morbidity was 30.9% and mortality (operative and postoperative) was 16.6%, both significantly influenced by the age of the patients, the associated medical disease and the presence of shock. Results of the follow up concerning 33 patients are also reported: in 57.5% of the cases simple suture combined with medical therapy was able to resolve the peptic disease. The analysis of the results shows that the procedure is indicated for acute duodenal ulcers and for elderly patients with associated diseases.