Comparative Retrospective Study of Graham’s Repair vs Primary Repair with Omentoplasty in Small Duodenal Perforations

Title: Comparative Retrospective Study of Graham’s Repair vs Primary Repair with Omentoplasty in Small Duodenal Perforations

Authors: G D Yadav, Manjushree Sachan, Deepak Lohia, Ravi Lohani, Rohit Singh, Siddhant Singh

DOI: https://dx.doi.org/10.18535/jmscr/v5i3.202

Abstract

Duodenal perforation is the common cause of peritonitis .It is considered as one of the most catastrophic complications of duodenal ulcer⁵ .It is a common surgical emergency. Duodenal perforations greater than 2 cm in size are considered as large perforations⁵. Perforation is considered hazardous because of extensive duodenum tissue loss, friability of ulcer margins surrounding tissue inflammation sepsis due to peritonitis and poor general condition of patient. Giant perforations are technically difficult to repair due to complex anatomy of duodenum and marginal blood supply shared by pancreas. High intraluminal pressure, tendency of mucosa to extrude through suture line and autodigestive enzymes of pancreas and bile add to risk of breakdown of suture line.

References

1. Rajes V, Chandra SS,Smile SR.Risk factor predicting operative mortality in perforated ulcer disease. Trop Gastroentral 2003:24:148-150(pubmed)

2. Lau WY: Perforated peptic ulcer: open versus Iaparoscopic repair. Asian J Surg 2002;25:267-269.

3. Hastings N, Machida R. Perforated peptic ulcer: results after simple surgical closure. Am J Surg. 1961;102:136-142. doi: 10.1097/0002-9610(61)90377-4.

4. Taj MH Muhammad D, Qureshi SA. Outcome of omentopexy as primary repair in perforated duodenal ulcer. JCPSP. 2007; 17(12):.73 1-735.

5. 5. Jani K, Saxena AK, Vaghasia R Omental plugging for large sized duodenal peptic perforation: a prospective randomized study of 1100 patients. Southern Med J. 2006;99(5):467-4.71. doi:

10.1097.301.smj.0000203814.87306.cd.

6. Gupta BS, Talulcdar RN, Neupane HC. Cases of perforated duodenal ulcer treated in college of medical sciences, Bharatpur over a period of 1 year. Kathmandu Univ Med J. 2003;12166-169.

7. Svanes C, Soreide JA, Skartein A et al. Smoking and ulcer perforation. Gut 1997; 41: 177-80.

8. Duggan JM, Zinsmeister AR, Kelly KA. Long-term survival among patients operated on for peptic ulcer disease.J. Gastroenterol. Hepatol. 1999; 14: 1074-82.

9. Smedley F, Hickish T, Taube M, Yale C, Leach R, Wastell C. Perforated duodenal ulcer and cigarette smoking. J.R. Soc. Med. 1988; 81: 92-4.

10. Koo J, Ngan YK. Laun SK. Trends in hospital admission, perforation and mortality of peptic ulcer in Hong Kong from 1970 to 1980. Gastroenterol 1983;84:1558-62.

11. Zitt el TT, Jehle EC, Becker HD: Surgical management of peptic ulcer disease today: indication, technique and outcome. Langenbecks Arch Surg 2000;385:84-96.

12. Bucher P, Oulhaci W, Morel P, Ris F, Huber o: Results of conservative treatment for perforated gastroduodenal ulcers in patients not eligible for surgical repair. Swiss Med Wkly 2007;137:337-340.

13. Donovan AJ, Berne TV, Donovan JA: Perforated duodenal ulcer: an alternative therapeutic plan. Arch Surg 1998;133: 1166-1171.

14. Crofts TJ, Park KG, Steele RJ, Chung SS, Li AK: A randomized trial of nonoperative treatment for perforated peptic ulcer. N Engl J Med 1989;320:970-973.

15. Doll R, Peto R, Wheathly K, Gray R, Sutherl and I. Mortality in relation to smoking: 40 years' observation on male. British doctors. BMJ 1994; 309: 901-11.

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