Risk factors for reintervention after surgery for perforated gastroduodenal ulcer

2016 ◽  
Vol 103 (12) ◽  
pp. 1676-1682 ◽  
Author(s):  
R. B. Hasselager ◽  
N. Lohse ◽  
P. Duch ◽  
M. H. Møller
Keyword(s):  
Risk Factors ◽  
Gastroduodenal Ulcer ◽  
Perforated Gastroduodenal Ulcer

scholarly journals GASTRODUODENAL PERFORATION, A FREQUENT SURGICAL EMERGENCY. REVIEW AND DESCRIPTIVE STUDY

2021 ◽  
Vol 108 (Supplement_3) ◽  
Author(s):  
C Nuño Iglesias ◽  
M R Fresnedo Pérez ◽  
R A Alonso Blanco ◽  
M Soto Dopazo ◽  
E Pérez Prudencio ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastroduodenal Ulcer ◽  
Lifestyle Changes ◽  
Surgical Emergency ◽  
Perforated Gastroduodenal Ulcer ◽  
Gastroduodenal Perforation ◽  
Potential Risk Factors ◽  
History Of ◽  
Sixth Decade ◽  
Current Risk

Abstract INTRODUCTION Perforated gastroduodenal ulcer represents a common surgical emergency and is associated with a morbimortality close to 40-50%. HP infection, tobacco and alcohol and some socioeconomic aspects represent the most commonly described risk factors. MATERIAL AND METHODS A descriptive and retrospective study was performed between 2018-2020. A total of 40 patients with a history of gastroduodenal perforation were selected. Data corresponding to: sex, age, ulcer location, treatment, tobacco and alcohol consumption, HP infection (presence or not of eradicating treatment) and other potential risk factors were collected and analysed. The aim of the study is to assess how new lifestyle changes, the evolution and improvement in the management of PH infection and the general decrease in smoking have modified the classic profile of patients with gastroduodenal perforations. RESULTS Gastroduodenal perforations predominated in the fifth/sixth decade of life (mean age 59 years). Although a predominance in men is described in the literature, in our sample no significant sex differences were found (1:1 ratio). The most frequent location was duodenal and the reference surgical treatment was primary suture + epipoplasty. Only one third of the patients had a known history of peptic ulcer. CONCLUSIONS Gastroduodenal perforations are a major problem for the on-call surgeon. It is essential to know the current risk factors and their potential relationship with morbimortality and postoperative evolution in order to guarantee the optimal management of these patients.

scholarly journals Perforated Gastroduodenal Ulcer: An Analysis of Risk Factors Related to Operative Mortality.

2002 ◽  
Vol 35 (10) ◽  
pp. 1599-1604
Author(s):  
Ryuichiro Suto ◽  
Yutaka Kuroda ◽  
Shigeki Nagayoshi ◽  
Mitsutaka Jinbo ◽  
Yasushi Kawazoe ◽  
...  
Keyword(s):  
Risk Factors ◽  
Operative Mortality ◽  
Gastroduodenal Ulcer ◽  
Perforated Gastroduodenal Ulcer

Prevalence of comorbidities and evaluation of their screening in spondyloarthritis: results of the international cross-sectional ASAS-COMOSPA study

2015 ◽  
Vol 75 (6) ◽  
pp. 1016-1023 ◽  
Author(s):  
Anna Moltó ◽  
Adrien Etcheto ◽  
Désirée van der Heijde ◽  
Robert Landewé ◽  
Filip van den Bosch ◽  
...  
Keyword(s):  
Risk Factors ◽  
Gastroduodenal Ulcer ◽  
International Study ◽  
Daily Practice ◽  
Systematic Evaluation ◽  
Cross Sectional ◽  
Unknown Risk ◽  
Increased Risk ◽  
High Prevalence ◽  
Cholesterol Measurement

BackgroundIncreased risk of some comorbidities has been reported in spondyloarthritis (SpA). Recommendations for detection/management of some of these comorbidities have been proposed, and it is known that a gap exists between these and their implementation in practice.ObjectiveTo evaluate (1) the prevalence of comorbidities and risk factors in different countries worldwide, (2) the gap between available recommendations and daily practice for management of these comorbidities and (3) the prevalence of previously unknown risk factors detected as a result of the present initiative.MethodsCross-sectional international study with 22 participating countries (from four continents), including 3984 patients with SpA according to the rheumatologist.Statistical analysisThe prevalence of comorbidities (cardiovascular, infection, cancer, osteoporosis and gastrointestinal) and risk factors; percentage of patients optimally monitored for comorbidities according to available recommendations and percentage of patients for whom a risk factor was detected due to this study.ResultsThe most frequent comorbidities were osteoporosis (13%) and gastroduodenal ulcer (11%). The most frequent risk factors were hypertension (34%), smoking (29%) and hypercholesterolaemia (27%). Substantial intercountry variability was observed for screening of comorbidities (eg, for LDL cholesterol measurement: from 8% (Taiwan) to 98% (Germany)). Systematic evaluation (eg, blood pressure (BP), cholesterol) during this study unveiled previously unknown risk factors (eg, elevated BP (14%)), emphasising the suboptimal monitoring of comorbidities.ConclusionsA high prevalence of comorbidities in SpA has been shown. Rigorous application of systematic evaluation of comorbidities may permit earlier detection, which may ultimately result in an improved outcome of patients with SpA.

Acute perforated gastroduodenal ulcer

1952 ◽  
Vol 84 (1) ◽  
pp. 30-41 ◽  
Author(s):  
Ivan N. Ingram ◽  
John R. Ervin
Keyword(s):  
Gastroduodenal Ulcer ◽  
Perforated Gastroduodenal Ulcer

Coelioscopic treatment of perforated gastroduodenal ulcer using the ligamentum teres hepatis

1991 ◽  
Vol 5 (3) ◽  
pp. 154-155 ◽  
Author(s):  
G. Costalat ◽  
F. Dravet ◽  
P. Noel ◽  
Y. Alquier ◽  
J. Vernhet
Keyword(s):  
Gastroduodenal Ulcer ◽  
Ligamentum Teres ◽  
Perforated Gastroduodenal Ulcer ◽  
Ligamentum Teres Hepatis

scholarly journals Perforated Duodenal Ulcer in a Pediatric Patient with Eosinophilic Gastroenteritis

1997 ◽  
Vol 11 (3) ◽  
pp. 208-212 ◽  
Author(s):  
Colette Deslandres ◽  
Pierre Russo ◽  
Peter Gould ◽  
Pierre Hardy
Keyword(s):  
Gastroduodenal Ulcer ◽  
Failure To Thrive ◽  
Elimination Diet ◽  
Eosinophilic Gastroenteritis ◽  
Skin Tests ◽  
Food Allergies ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Perforated Gastroduodenal Ulcer ◽  
Work Up

An 11-year-old boy with eosinophilic gastroenteritis treated by an elimination diet alone presented with a perforated gastroduodenal ulcer subsequent to blunt trauma to the abdomen. Peripheral eosinophilia, chronic iron deficiency, chronic hypoalbuminemia and severe failure to thrive had been present since age 2 years. Immunological work-up revealed food allergies, documented by skin tests. A review of the literature since 1966 revealed only six other cases of perforation of the gastrointestinal tract, one of whom was also a child.

scholarly journals The long-term results of radical organpreserving operations compared with resection of the stomach and suturing in elderly patients with complicated gastroduodenal ulcer

2011 ◽  
Vol 4 (1) ◽  
pp. 21-28
Author(s):  
Yuri Semenovich Vinnik ◽  
Nikolai Alekseevich Chaikin ◽  
Anna Nikolaevna Aksyutenko ◽  
Stanislav Ivanovich Parsley ◽  
Oleg Anatolyevich Kolesnytsky ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Gastroduodenal Ulcer ◽  
Long Term Results ◽  
Perforated Gastroduodenal Ulcer ◽  
Significant Superiority ◽  
Stomach Resection

Long-term results show a significant superiority of radical organpreserving operations compared with suturing and stomach resection in elderly patients with perforated gastroduodenal ulcer. Quality of life after radical operations in patients older 60 years is remaining high. The long-term syndromes specific to the patients condition after resection or suturing present in minimal percents of cases.

scholarly journals CLINICAL STUDY ON THE PERFORATED GASTRODUODENAL ULCER

1993 ◽  
Vol 54 (3) ◽  
pp. 594-599
Author(s):  
Yoshito YAMASHITA ◽  
Yuichi FUYUHIRO ◽  
Kazuhiro TAKEUCHI ◽  
Akira SHIGESAWA ◽  
Satoru KUNITOH ◽  
...  
Keyword(s):  
Clinical Study ◽  
Gastroduodenal Ulcer ◽  
Perforated Gastroduodenal Ulcer
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