scholarly journals A Case of Giant Duodenal Ulcer Perforation Treated by Omental Plugging and Biliary Drainage

2013 ◽  
Vol 74 (8) ◽  
pp. 2166-2171
Author(s):  
Soichi SHIMIZU ◽  
Mio KASAI ◽  
Jyunya OGUMA ◽  
Yasushi IWASAKI ◽  
Jyoji OKAMOTO ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Biliary Drainage ◽  
Ulcer Perforation ◽  
Giant Duodenal Ulcer ◽  
Duodenal Ulcer Perforation

scholarly journals A Novel Approach to Managing Giant Duodenal Ulcer Perforations: Minimizing Ostomies, Maximizing Decompression. A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Daniel Gross ◽  
Egelko Aron ◽  
Levi Amelia ◽  
Roudnitsky Valery
Keyword(s):  
Duodenal Ulcer ◽  
Feeding Tube ◽  
Peptic Ulcer Perforation ◽  
Duodenal Ulcers ◽  
Ulcer Perforation ◽  
Novel Approach ◽  
Giant Duodenal Ulcer ◽  
Novel Method ◽  
Duodenal Perforations ◽  
Duodenal Ulcer Perforation

Background: Peptic ulcer perforation is a deadly complication of duodenal ulcers. The literature is still sparse in terms of giant duodenal perforations. There exist a variety of techniques to decompress the duodenum after repair which leave the patient with multiple ostomies that require extensive postoperative care. Case presentation: In this case we present a patient with AIDS who was found to have a large duodenal ulcer perforation. Intraoperatively the fragility of the patient’s duodenum warranted a method of decompression that would keep the integrity of the duodenal tissue. The common method of lateral duodenostomy was not the best option and instead a gastro-jejunal feeding tube was altered into a gastro-duodenal tube to avoid creating another ostomy. Postoperatively she did not show signs of leak, but eventually died from sepsis secondary to fulminant AIDS. Conclusions: We propose this technique as a novel method of decompressing the duodenum. This new method eliminates the need for excessive ostomies and has the possibility to make the postoperative transition simpler.

scholarly journals Giant duodenal ulcer perforation: a case of innovative repair with an antrum gastric patch

2012 ◽  
Vol 104 (8) ◽  
pp. 436-439 ◽  
Author(s):  
Javier A. Cienfuegos ◽  
Fernando Rotellar ◽  
Víctor Valentí ◽  
Jorge Arredondo ◽  
Jorge Baixauli ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Ulcer Perforation ◽  
Giant Duodenal Ulcer ◽  
Duodenal Ulcer Perforation ◽  
Gastric Patch

scholarly journals A Case of Giant Duodenal Ulcer Perforation with Septic Shock and Hyperkalemia: Emergency Surgery Review

2011 ◽  
Vol 36 (6) ◽  
pp. 942-946
Author(s):  
Motohiro Ito ◽  
Hiroo Oshita ◽  
Tsuneaki Hato ◽  
Makoto Yamada ◽  
Takahito Adachi ◽  
...  
Keyword(s):  
Septic Shock ◽  
Duodenal Ulcer ◽  
Emergency Surgery ◽  
Ulcer Perforation ◽  
Giant Duodenal Ulcer ◽  
Duodenal Ulcer Perforation

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
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