scholarly journals A CASE OF DUODENAL ULCER PERFORATION IN A 10-YEAR-OLD CHILD TREATED BY LAPAROSCOPIC SURGERY

2011 ◽  
Vol 72 (10) ◽  
pp. 2545-2549
Author(s):  
Tadayoshi OTSUKI ◽  
Atsushi IIDA ◽  
Yasuo HIRONO ◽  
Takanori GOI ◽  
Kanji KATAYAMA ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Laparoscopic Surgery ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

MID-TERM OUTCOME OF PERFORATED DUODENAL ULCER REPAIR USING SINGLE-PORT LAPAROSCOPIC SURGERY

2016 ◽  
pp. 57-62
Author(s):  
Huu Tri Nguyen ◽  
Loc Le
Keyword(s):  
Duodenal Ulcer ◽  
Laparoscopic Surgery ◽  
Single Port ◽  
Duodenal Wall ◽  
Perforated Duodenal Ulcer ◽  
Term Outcome ◽  
Ulcer Perforation ◽  
Port Site Hernia ◽  
Duodenal Ulcer Perforation

Background: Single-port laparoscopic surgery (SPLS) is increasingly used in surgery and in the treatment of perforated duodenal ulcer. The aim of this study was to evaluate mid-term outcome of perforated duodenal ulcer repair using SPLS. Methods: A prospective study on 72 consecutive patients diagnosed with perforated duodenal ulcer and treated with SPLS at Hue University Hospital and Hue Central Hospital from January 2012 to Mars 2016. Results: The mean age was 48.8 ± 14.0 (17 - 79) years. Male/female ratio was 17.0. Four patients (5.6%) with history of abdominal surgery were successfully treated by pure SPLS. Patients were classified as ASA 1, ASA 2 and ASA 3 in 86.1%, 12.5%, and 1.4% of cases, respectively. Using Boey scoring system, there were 86.1% and 12.5% of cases classified as Boey 0 and Boey 1 while there were no Boey 2 and 3 cases. The average size of perforation was 4.1 ± 2.6 (1.5-22) mm. The perforation was situated on the anterior duodenal wall in 98.6% of cases and on the posterior duodenal wall in 1.4% of cases. There was one case (1.4%) in which one additional trocar was required. Conversion to open surgery was necessary in one patient (1.4%) in which the perforation was situated on the posterior duodenal wall. Average length of hospital stay was 5.7 ± 1.2 (4-12) days. Post-operative complications rate was 2.8%. There was no leakage from the repair site, no port-site hernia and no post-operative mortality. At 2-month follow-up visit, patients were classified as Visick 1 in 95.1% of cases and Visick 2 in 4.9% of cases and the duodenal ulcer was completely healed on gastroduodenoscopy in 86.7% of cases. At 12-month follow-up, patients were classified as Visick 1 in 93.5% of cases and Visick 2 in 4.3% of cases. There was one case (2.2%)diagnosed with recurrent duodenal ulcer perforation at 5 months after the repair of the first perforation. On gastroduodenoscopy, recurrent duodenal ulcer was seen in 8.9% of cases. Conclusions: SPLS is a safe method for the treatment of perforated duodenal ulcer. Conversion rate was 1.4%. Recurrent duodenal ulcer rate was 8,9% and recurrent duodenal ulcer perforation rate was 2.2% after 12-month follow-up. Key words: perforated duodenal ulcer, single port laparoscopic repair, single port laparoscopy

Study of factors affecting mortality and morbidity in patients presenting with peritonitis due to duodenal ulcer perforation

2021 ◽  
Vol 19 (2) ◽  
pp. 35-39
Author(s):  
Pradeep Chandra Sharma ◽  
Keyword(s):  
Duodenal Ulcer ◽  
Previous History ◽  
Common Factors ◽  
Duodenal Perforation ◽  
High Morbidity ◽  
Delayed Presentation ◽  
Mortality And Morbidity ◽  
Factors Affecting ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

Background: Peptic ulcer disease in the general population had lifetime prevalence of 5-10% with incidence of 0.1–0.3% per year. Despite the tremendous improvement in preventive therapies, the rate of complication of this disease is still high and is burdened by high morbidity and mortality. In present study, we aimed to study factors affecting mortality and morbidity in patients presenting with peritonitis due to duodenal ulcer perforation at our tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study conducted in patients admitted, diagnosed with duodenal ulcer perforation and surgically treated at our hospital. Results: In present study period total 56 patients were studied. All were male, most common age group was 51-60 years (37.5%) followed by 41-50 years (23.21%). Duration from onset of symptoms to admission was >24 hours (30.36%) in most of patients followed by 12-24 hours (28.57%). Most commons symptoms were pain in abdomen (100%), vomiting (100%). Anaemia (37.5%), LRTI and Pulmonary complications (19.64%), Diabetes mellitus (12.5%) and Hypertension (10.71%) were common comorbidities noted. Associated risk factors were previous history of PUD (41.07%), Alcohol use (64.29%), Cigarette smoking (51.79%) and Use of NSAIDs (12.5%). Presence of free gas under diaphragm was noted in 83.93% patients. Intraoperatively duodenal perforation diameter was 1–5 mm (60.71%) in most of patients followed by 6–10 mm (23.21%). Only 1 patient had duodenal perforation diameter was > 20mm. Common postoperative complications were wound infection (37.5%) and pulmonary infection (21.43%). In present study mortality within 1 month was noted in 13 patients (23.21%). Most common factors related to mortality were delayed presentation > 24 hours (61.54%), age > 60 years (46.15%), diabetes mellites (38.46%), Size of perforation > 1 cm (38.46%) and septicaemic shock (23.08%). Conclusion: Delayed presentation > 24 hours, age > 60 years size of perforation > 1 cm were common factors related to mortality in duodenal ulcer perforation patients.

scholarly journals Endoscopic stent treatment of a duodenal ulcer perforation using a semi‐covered stent

2019 ◽  
Vol 7 (8) ◽  
pp. 1554-1556
Author(s):  
Thor Erik Holm ◽  
Snorri Olafsson ◽  
Airazat M. Kazaryan
Keyword(s):  
Duodenal Ulcer ◽  
Covered Stent ◽  
Endoscopic Stent ◽  
Ulcer Perforation ◽  
Stent Treatment ◽  
Duodenal Ulcer Perforation

scholarly journals Eradication of Helicobacter pylori Prevents Recurrence of Ulcer After Simple Closure of Duodenal Ulcer Perforation

2000 ◽  
Vol 231 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Enders K. W. Ng ◽  
Y. H. Lam ◽  
Joseph J. Y. Sung ◽  
M. Y. Yung ◽  
K. F. To ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Helicobacter Pylori ◽  
Simple Closure ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation

A case of Zollinger-Ellison syndrome diagnosed by duodenal ulcer perforation into the gallbladder

2013 ◽  
Vol 77 (4) ◽  
pp. 659-661
Author(s):  
Tadashi Inuzuka ◽  
Yoshihiro Okabe ◽  
Hiroki Nishikawa ◽  
Yukio Osaki
Keyword(s):  
Duodenal Ulcer ◽  
Ulcer Perforation ◽  
Zollinger Ellison Syndrome ◽  
Duodenal Ulcer Perforation

Is duodenal ulcer perforation best treated with vagotomy and pyloroplasty?

1985 ◽  
Vol 150 (6) ◽  
pp. 743-747 ◽  
Author(s):  
Keith G. Bennett ◽  
Jay P. Cannon ◽  
Claude H. Organ
Keyword(s):  
Duodenal Ulcer ◽  
Ulcer Perforation ◽  
Duodenal Ulcer Perforation
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