Abstract
Perforated peptic ulcer is one of the commonest surgical emergencies. Advanced age, preoperative shock, coexisting medical illness and delay in treatment are common risk factors associated with increased mortality and morbidity. Hence patients should be assessed and treated early. The present study is carried out in respect to the above critical and prognosis bearing factor. 380 cases of perforated peptic ulcer admitted to V.S.S. Medical College Hospital, Burla were studied from September, 2010 to August, 2012. Those cases that were lost to follow up were excluded from the study.
Keywords: PEPTIC perforation. perforated peptic ulcer
References
1. Agresta F, Mazzarolo G, Ciardo LF, Bedin N (2008) The laparoscopic approach in abdominal emergencies: has the attitude changed? A single-center review of a 15-year experience. Surg Endosc 22:1255–1262
2. Ates M, Coban S, Sevil S, Terzi A (2008) The efficacy of laparoscopic surgery in patients with peritonitis. Surg Laparosc Endosc Percutan Tech 18:453–456
3. Sanabria AE, Morales CH, Villegas MI (2005) Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev CD004778
4. Lagoo S, McMahon RL, Kakihara M, Pappas TN, Eubanks S (2002) The sixth decision regarding perforated duodenal ulcer. JSLS 6:359–368
5. Lau WY (2002) Perforated peptic ulcer: open versus laparoscopic repair. Asian J Surg 25:267–269
6. Druart ML, Van Hee R, Etienne J, Cadie`re GB, Gigot JF, Legrand M, Limbosch JM, Navez B, Tugilimana M, Van Vyve E, Vereecken L, Wibin E, Yvergneaux JP (1997) Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial. Surg Endosc 11:1017–1020
7. Regression of fundic gland polyps following acquisition of H.pylorii infection, case report, N. Warantabe, Gut 2002,51:742-745.
8. Cellan-Jones CJ: A rapid method of treatment in perforated duodenal ulcer. BMJ 1929, 36:1076-7.
9. Ananthakrishnan N, Anganu K. Is ulcer recurrence after simple closure of perforated duodenal ulcer predictable ? Ind. J. Gastroent 12 : 80, 1993.
10. Barksdale A R, Schwartz R W. Current management of perforated peptic ulcer. Curr Surg 2000; 57: 594-599.
11. Bhogal RH, Athwal R, Durkin D, Deakin M, Cheruvu CN. Comparison between open and laparoscopic repair of perforated peptic ulcer. World J.Surg.2008 Nov;32 (11):2371-4.