Perforated Gastric Ulcers

Turner, William W.; Thompson, William M.; Thal, Erwin R.

doi:10.1001/archsurg.1988.01400320046008

Cited by 41 publications

(11 citation statements)

References 6 publications

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“…Mean age of patients with gastric ulcer perforation was rather high (55.4 years) but within a range reported by other authors [7, 13, 14, 15]. It was markedly higher than in patients with perforated duodenal ulcer [5, 13].…”

Section: Discussionsupporting

confidence: 63%

Perforated Gastric Ulcer

Wysocki

Biesiada²,

Beben³

et al. 2000

Dig Surg

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Background/Aims: Reports about perforated gastric ulcer are scarce and thus it is difficult to settle for a uniform model of operative management. The purpose of the study was to review our experience with perforated gastric ulcer and evaluate the results of gastric resection vs. oversewing of the perforation. Methods: Within 36 years 77 patients with peritonitis caused by histologically confirmed perforated gastric ulcer were operated. Furthermore, in another 7 microscopic examination revealed that perforation occurred within the gastric cancer. There were twice as many male as female patients. Results: Recently, the overall postoperative mortality (20.8%) tended to decrease markedly. 32 patients (mean age 49.9 years) were submitted to gastric resection and this procedure was associated with 2.9% mortality. All 3 subjects in whom vagotomy, pyloroplasty and wedge resection of the ulcer had been performed survived. In 40 patients (mean age 61.5 years) only a suture of the ulcer was performed. This procedure was associated with high mortality (1/3 of patients died). Selection criteria included poor general medical status, age, comorbidities, and substantial progression of the inflammatory process. Conclusion: Authors believe that emergency gastrectomy is a safe procedure; however, it might be performed without excessive operative risk in only half of the patients.

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Section: Discussionsupporting

confidence: 63%

Perforated Gastric Ulcer

Wysocki

Biesiada²,

Beben³

et al. 2000

Dig Surg

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“…recommended gastric resection for prepyloric ulcers. [6] However, resectional surgery in current practice is reserved mostly for Johnson Type I and IV ulcers considering higher risk of malignancy. [7] In our case, the PGU is Johnson Type V located on the posterior wall of the antrum.…”

Section: Discussionmentioning

confidence: 99%

Surgical scales: Primary closure versus gastric resection for perforated gastric ulcer - A surgical debate

et al. 2017

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Perforated gastric ulcer is one of the most life-threatening complications of peptic ulcer disease with high morbidity and mortality rates. The surgical strategy for gastric perforation in contrast with duodenal perforations often requires consilium and intraoperative debates. The subject of the debate is a 59-year-old male patient who presented with perforated giant gastric ulcer complicated by generalized peritonitis and severe sepsis. The debate is based on a systematized table dividing all factors into three groups and putting them on surgical scales. Pathology-related factors influencing the decision-making are size and site of perforation, local tissue inflammation, signs of malignancy, simultaneous complications of peptic ulcer, peritonitis, and sepsis. Besides these factors, patient- and healthcare-related factors should also be considered.

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“…Ates et al [68] compared the results of laparoscopic simple closure without omental patch with that of conventional open repair in patients with small perforated duodenal ulcer and prove that is was as safe and as effective. On the other hand, Turner et al [69] reported that suture without an omental patch would result in a significantly higher mortality rate than with a patch. However, most cases in their series were perforated gastric ulcers instead of juxta-pyloric perforation.…”

Section: Surgerymentioning

confidence: 99%