Is History of Ulcer an Adverse Factor for Laparoscopic Repair of Peptic Ulcer Perforation?

2015 ◽  
Vol 81 (2) ◽  
pp. 84-86
Author(s):  
Hung-Chieh Lo ◽  
Li-Ting Su ◽  
Han-Tsung Cheng ◽  
Yu-Chun Wang ◽  
Chi-Hsun Hsieh
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation ◽  
History Of ◽  
Adverse Factor

scholarly journals Peptic ulcer perforation in young Indians the causation and the trend

2017 ◽  
Vol 5 (1) ◽  
pp. 200
Author(s):  
Geeta Sabhnani ◽  
Akula Nyna Sindhu
Keyword(s):  
Young Adults ◽  
Peptic Ulcer ◽  
Young Adult ◽  
Duodenal Perforation ◽  
Peptic Ulcer Perforation ◽  
Adult Males ◽  
Ulcer Perforation ◽  
Surgical Emergencies ◽  
Causative Factors ◽  
History Of

Background: Peptic ulcer perforation is the commonest surgical emergencies in India. Recent emergency surgical procedures show an increasing trend in peptic ulcer perforation surgery in young adults. This study is carried out with an aim to understand the trend, causation and complications of peptic ulcer perforation in young Indians.Methods: A prospective observational study of young adult Indian patients operated for emergency peptic ulcer perforation for a 3 years period from January 2014 to January 2017 was carried out. The incidence, causative factors and the complications were analyzed.Results: In study of 150 patients, maximum incidence of 42.85% was seen in age group of 21 to 30 years that is young adults. 80% of them were males. 59% patients had blood group O. Association with smoking and alcoholism was seen in about 64% and 66.6% respectively. In about 13.33% there was an association seen with history of NSAID / steroid ingestion / treatment with proton pump inhibitors or H2antagonists.The duodenal perforation was found in 84.66%. In 90% the perforation was less than 1cm.Wound infection was the commonest complication among all patients. Mortality was seen in 3.33%.Conclusions: Peptic ulcer perforation shows increasing incidence in young adult males. The increased incidence shows association to smoking, alcoholism, irregular food habits, use of NSAIDS/steroids and overall stressed lifestyle. 

scholarly journals The growing role of laparoscopic repair in patients with early diagnosed peptic ulcer perforation

2014 ◽  
Vol 30 (3) ◽  
pp. 120-124 ◽  
Author(s):  
Muhammet Ferhat Celik ◽  
Ahmet Cem Dural ◽  
Cevher Akarsu ◽  
Mustafa Gokhan Unsal ◽  
Ilhan Gok ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Ulcer Perforation

scholarly journals Feasibility of laparoscopic repair of peptic ulcer perforation

2021 ◽  
Vol 8 (5) ◽  
pp. 1526
Author(s):  
Sanjay Sisodiya ◽  
Badri Prasad Patel
Keyword(s):  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Concomitant Disease ◽  
Wound Infections ◽  
Ulcer Disease ◽  
Ulcer Perforation ◽  
Early Return ◽  
Perforation Peritonitis

Background: Perforation is a common complication of peptic ulcer disease and presents as Perforation peritonitis. It has the highest number of mortality among all complications (≈15%). In spite of modern progress in the management, it is still a life-threatening catastrophe. Emergency surgery for complicated cases required in 7% of hospitalized peptic ulcer disease patients. Factors such as >24 hours of history, concomitant disease, shock, post operated wound infections, all are associated with increase in mortality and morbidity.Methods: A Prospective, observational, single hospital base study done during the period from 2016 to 2020 in the Department of Surgery, Gandhi medical college Bhopal. Sample size was taken 63Results: 52 out 63 cases presented with perforation peritonitis included under study period, 11 cases were excluded due to death and absconding of cases. In rest 52 cases, 15 of them went through laparoscopic repair, 28.85% of the cases were shifted directly to ORG.Conclusions: Laparoscopic repair of peptic ulcer perforation is feasible if patient presents early to the hospital. All perforation peritonitis should give fair chance to repair laparoscopically if patient’s general condition and anesthetic permits. This is a good alternative for conventional open surgery with less post-operative pain, early return to normal activities, less hospital stays and few postoperative wound infections. Thus it can significantly decrease the economic burden. 

scholarly journals ILEAL PERFORATION DUE TO INGESTED METALLIC COINS

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Anubhav Arya ◽  
Dr. Neel Kamal Gola ◽  
Dr. Amit Kumar
Keyword(s):  
Emergency Department ◽  
Peptic Ulcer ◽  
Hospital Stay ◽  
Medical History ◽  
Preoperative Diagnosis ◽  
Exploratory Laparotomy ◽  
Peptic Ulcer Perforation ◽  
Ileal Perforation ◽  
Ulcer Perforation ◽  
History Of

A 28-year-old man was admitted in Emergency Department with features of the peritonitis. This patient underwent emergent exploratory laparotomy with a preoperative diagnosis of peptic ulcer perforation based on his history. Two coins were removed from perforated ileum. The patient was discharged on 5th POD with an ileostomy following an uneventful hospital stay. Interesting facts reported with this case was absence of any specific history of coins ingestion and no detection of these coins in preoperative abdominal skiagram which was further vitiated by presence of fever and medical history.

scholarly journals Laparascopic Management of Peptic Ulcer Perforation: Initial Experience in Chittagong Medical College Hospital

1970 ◽  
Vol 21 (2) ◽  
pp. 16-20
Author(s):  
Md Nur Hossain Bhuiyan ◽  
Md Yunus Haroon Chowdhury ◽  
Syed Md Muhsin ◽  
SM Ashraf Ali ◽  
Omar Faruque Yusuf
Keyword(s):  
Peptic Ulcer ◽  
Return To Work ◽  
Key Words ◽  
Laparoscopic Repair ◽  
Peptic Ulcer Perforation ◽  
Initial Experience ◽  
College Hospital ◽  
Ulcer Perforation ◽  
Medical College ◽  
Early Return

Key Words: laparoscopic repair; early return to work; peptic ulcer performationDOI: 10.3329/jcmcta.v21i2.7731 Journal of Chittagong Medical College Teachers' Association 2010: 21(2):16-20

scholarly journals Mortality and Morbidity in Peptic Ulcer Perforation: A Comparison between Radical Open Repair vs Conservative Laparoscopic Repair

2020 ◽  
Vol 13 (3) ◽  
pp. 97-100
Author(s):  
Yacine Ben Safta ◽  
Neserine Tounsi ◽  
Mohamed Maatouk ◽  
Aymen Mabrouk ◽  
Aymen Ben Dhaou ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Laparoscopic Repair ◽  
Open Repair ◽  
Peptic Ulcer Perforation ◽  
Mortality And Morbidity ◽  
Ulcer Perforation

scholarly journals Laparoscopic Repair of Peptic Ulcer Perforation - Our Initial Experience

2014 ◽  
Vol 1 (2) ◽  
pp. 153-157
Author(s):  
Md. Saiful Hoque ◽  
Gazi Mohammad Zakir Hossain ◽  
Nur Hossain Bhuiyan ◽  
Md. Rashedul Hasan ◽  
Mayin Uddin Mahmud ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Gastric Ulcer ◽  
Laparoscopic Repair ◽  
Operation Time ◽  
Perforated Peptic Ulcer ◽  
Peptic Ulcer Perforation ◽  
Related Complication ◽  
Ulcer Perforation ◽  
Delayed Recovery ◽  
Duodenal Ulcer Perforation

Background: Laparoscopic repair of perforated peptic ulcer was reported in 1990 but has not gained wide acceptance. The aim of this study was to evaluate the safety and efficacy of laparoscopic repair in routine clinical practice.Methods: This was a prospective analysis of 30 patients who underwent laparoscopic repair of a perforated peptic ulcer between July 2009 and June2010.Results: Thirty patients of mean age 45 (range 25-52) years had perforated ulcer diagnosed by clinical examination and x-ray abdomen and confirmed by laparoscopy. 28 was duodenal ulcer perforation and rest 2 was gastric ulcer perforation. Only 3 patients required conversion to laparotomy out of them 2 were DU perforation and one was gastric ulcer perforation. Mean operation time was 75 (range 75-150) minutes. Mean postoperative hospital stay was 6 (5-10) days. Postoperative convalescences were good. There was no operation related complication but one patient needs transfer to ICU for delayed recovery and the patient eventually recovered well. Post-operative leakage occurred in one patient and that was treated by laparotomy. One of 3 conversion cases developed wound infection but wound related complications in laparoscopic cases were very negligibe.Conclusion: Laparoscopic repair is a safe and effective procedure for repair of perforated peptic ulcer.DOI: http://dx.doi.org/10.3329/jpsb.v1i2.19535

Sign in / Sign up

Export Citation Format

Share Document