Omental Plugging for Large-sized Duodenal Peptic Perforations: A Prospective Randomized Study of 100 Patients

Abstract

It was concluded that omental plugging was a safe and reliable method of treatment for large-sized duodenal peptic perforations.

Comparative Study Between Omentopexy and Omental Plugging in Treatment of Giant Peptic Perforation

“…In our study the incidence was 3.2%. In our study the highest incidence was seen in the 5th decade which is similar to other studies in literature [1,7,8]. All our patients were males which is in sharp contrast to other studies where the male to female ratio is between 9:1 to 7.5:7 [1,7,9,10].…”

“…There is a paucity of data in literature regarding giant peptic ulcer perforation management. The overall incidence of 2 cm or more diameter perforation is about 3% [1]. In our study the incidence was 3.2%.…”

“…Perforation is one of the most catastrophic complications of peptic ulcer [1] . Though it is a common surgical emergency, literature is silent on the exact definition, incidence, management and complications of large perforations of peptic ulcers [2].…”

“…Though it is a common surgical emergency, literature is silent on the exact definition, incidence, management and complications of large perforations of peptic ulcers [2]. Giant peptic perforations are defined as perforations of size equal to or greater than 2 cm in diameter [1]. These perforations are considered particularly hazardous because of the extensive duodenal tissue loss, friability of the ulcer margins, surrounding tissue inflammation, poor general condition of the patient and overwhelming sepsis due to bacterial peritonitis.…”

“…Various methods apart from standard omentopexy have been described for the management of giant perforations and they include partial gasterectomy, jeunal serosal patch, jejunal predicled graft, omental plugging and proximal gastrojejunostomy [2]. Apart from omental plugging, all other methods are more elaborate, time consuming and technically difficult to perform [1]. The present study was done to compare the success rate between omental plugging and standard omentopexy in the emergency management of giant peptic perforations.…”