Surgical management of perforated duodenal ulcer: the changing scene
West Indian med. j
;
53(6): 378-381, Dec. 2004.
Article
in English
| LILACS
| ID: lil-410097
ABSTRACT
To determine the management of perforated duodenal ulcer at the University Hospital of the West Indies (UHWI) in this era of Helicobacter pylori, the medical records of all patients seen at the UHWI during the period July 1997 to June 2002 with an intra-operative diagnosis of perforated peptic ulcer were reviewed The records were analyzed for the following age, gender, duration of symptoms, non-steroidal anti-inflammatory drug (NSAID) use, smoking status, operative repair duration of hospitalization, Helicobacter pylori status and medical therapy, peri-operative complications, mortality and recurrence. Ninety per cent of the cases were males. All females in whom perforation occurred were age 50 years and older compared to males where 58 of cases presented before age 50 years. Perforations in acute ulcers occurred in 80 of cases. The majority of patients were male smokers. Non-steroidal anti-inflammatory drug use was also an important risk factor in elderly females. Simple surgical closure and standard triple therapy antibiotics to eradicate Helicobacter pylori was the most common treatment offered. Mortality was one per cent and follow-up poor but 11 of patients had documented recurrent peptic ulceration. In this study population, perforated duodenal ulcer occured overwhelmingly in males less than 50 years of age. There is a trend towards exclusive simple surgical closure and H pylori eradication at the UHWI for patients with perforated duodenal ulcer but this needs to be supported by documentation of H pylori prevalence in the population of patients presenting with perforated peptic ulcers
Search on Google
Index:
LILACS (Americas)
Main subject:
Peptic Ulcer Perforation
/
Helicobacter pylori
/
Helicobacter Infections
/
Duodenal Ulcer
/
Medical Audit
Type of study:
Observational study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Infant, Newborn
Country/Region as subject:
Caribbean
Language:
English
Journal:
West Indian med. j
Journal subject:
Medicine
Year:
2004
Type:
Article
Affiliation country:
Jamaica
Similar
MEDLINE
...
LILACS
LIS