Perforated gastric ulcer - reappraisal of surgical options
S. Afr. j. surg. (Online)
;
43(3): 58-60, 2005.
Artículo
en Inglés
| AIM
| ID: biblio-1270948
ABSTRACT
Background:
The available operative procedures for perforated gastric ulcer are gastrectomy; ulcer excision and omental patch closure. This study analysed the outcome of these operative options in a single institution.Patients andmethods:
Seventy-two patients (mean age 43 years; 62 males) with perforated gastric ulcers were managed by laparotomy. There were 34 lesser curve (incisural) and 38 antral ulcers.Results:
Partial gastrectomy was performed in 27 patients; ulcer excision in 27 and simple patch closure in 18. Two ulcers were malignant. The mortality rate was 18(26for gastrectomy; 19for ulcer excision and 5for patch closure). Shock on admission (p=0.006) and Candida (p=0.020) in the histological specimen were predictive of poor outcome. Hospital stay was similar in the 3 groups.Conclusion:
Omental patch closure and ulcer excision are as effective as gastrectomy in the management of perforated gastric ulcer and merit consideration as first-line therapy in technically applicable cases
Texto completo:
Disponible
Índice:
AIM (África)
Asunto principal:
Úlcera Gástrica
Tipo de estudio:
Estudio pronóstico
Idioma:
Inglés
Revista:
S. Afr. j. surg. (Online)
Año:
2005
Tipo del documento:
Artículo
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