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Updated: Aug 7, 2026
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Published on: May 7, 2011
Laparoscopic patching of crack cocaine-induced perforated ulcers
A Arrillaga1, J L Sosa, R Najjar
1Greenville Memorial Hospital, South Carolina, USA.
The American Surgeon
|December 1, 1996
Summary
Crack cocaine use is linked to perforated ulcers, often caused by ischemia. Laparoscopic omental patching offers a minimally invasive surgical option for treating these ulcers, potentially reducing recovery time and complications.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- Crack cocaine use has been associated with gastrointestinal complications, including perforated ulcers.
- The pathophysiology is thought to involve an ischemic process, making acid-reducing surgery inappropriate.
Observation:
- This study presents three cases of perforated ulcers linked to crack cocaine use.
- These ulcers were surgically managed using laparoscopic-assisted omental patching.
Findings:
- Laparoscopic-assisted omental patching is a feasible technique for crack-related perforated ulcers.
- This minimally invasive approach may offer benefits over traditional open surgery.
Implications:
- Laparoscopic techniques provide a potentially less morbid and faster recovery option for managing these specific surgical emergencies.
- Further research should explore the long-term outcomes of laparoscopic management for crack-related gastrointestinal perforations.
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