A study on 5 cases of severe complication of gastroduodenal ulceration after urological operation and restrospective study on the medical records in Viet Duc hospital have shown that the treatment of gastroduodenal ulceration involved ages, time of hospitalization, pathoanatomical lesions. The severe complication of gastroduodenal ulceration indicated by emergency operation for cutting 2/3 stomach with safe results.
Peptic Ulcer ; Surgery ; complications

170 patients with perforated peptic ulcer (90% perforated duodenal ulcer and 10% perforated gastric ulcer) were included in the study from 8/1998 to 8/1999 at the Cho Ray hospital, Ho Chi Minh city. 165 patients (97.05%) were treated by simple surgical closure (including by one laparoscopic repair) with a postoperative mortality of 4.84%. 4 of them were treated by subtotal gastrectomy and one by vagotomy+ pyloroplasty without mortality. In summary, simple surgical closure is a satisfactory operation for most patients.
Peptic ulcer ; therapeutics ; surgery

Remarks on laparoscopic suture of perforated peptic ulcer. Objectives: to evaluate the early result of laparoscopic repair of perforated peptic ulcer. Method: prospective study. The outcome of 26 patients having the lararoscopic repair of perforated peptic ulcer was compared with the outcome of 26 patients treated with suture via laparotomy during the same period – from Sept 1995 to Dec 1998. Results: the average operative time of laparoscopic suture was longer than for open suture (69.6 min Vs. 48.7 min; T test, p<0.05). There was no difference of the time between the laparoscopic and the open groups to resume normal diet (3.8 days). The everage hospitalization days for laparoscopic repair was shorter than for open repair (6 days; T test, p < 0.05). Conclusions: laparoscopic repair of perforated peptic ulcer is feasible, safe and effictive, has the additional and well – known advantages of minimally invasive surgery.
Peptic Ulcer ; Endoscopy ; surgery ; therapeutics

98 patients with perforated peptic ulcer were treated by simple surgical closure followed by H.pylori eradication. Effect of H.pylori eradication was demonstrated by improvement or resolution of histopathological lesions of chronic gastritis 97.95% compared with 60.2% in pre and postreatment lesions (p<0.0001), atrophy 20.83% vs 4.16% (p<0.0001) and intestinal metaplasia 18.75% vs 9.37% (p < 0.005). After successful eradication of H.pylori, these lesions were restored and improved significantly in patients received a new triple therapy for 7 days (OCA-7).
Peptic Ulcer ; Helicobacter pylori ; surgery

Of 115 patients with perforated peptic ulcer, 96,5% (111/115) were treated by simple surgical closure followed by Helicobacter pylori (H.pylori) eradication. 111 H.pylori positive patients received triple therapy including Omeprazole 20 mg b.d + Clarithromycine 500mg b.d + Amoxicillin 1,000 mg b.d for 7 days (OCA-7). Follow -up endoscopiy was performed over 2 month and over 1 year after hospital discharge for surveillance of ulcer healing and determination of H.pylori status. Of 107 patients who did underwent follow-up endoscopy, 95.3% (102/107) had H.pylori eradicated and initial ulcer healing rate was 92.5% (99/107). After over 1 year, H. pylori reinfection rate was 16.8% (16/95) and ulcer ralapse rate was 7.4% (7/95). The simple surgical closure followed by H.pylori eradication prevents ulcer recurrence in patients with H.pylori associated perforated peptic ulcers.
Peptic ulcer ; Helicobacter pylori ; surgery

From January to December 2002 at Cho Ray Hospital Ho Chi Minh City, bleeding peptic ulcer was recognized in 273 patients. Surgical treatment was used in 11.4% (31/273 cases). The indication for surgery was correlated with site, size, general status, lesion of the bleeding peptic ulcer and rebleeding or failure of endoscopic treatment as well as bleeding degree. Surgical procedures including simple suture (n=10), Weinberg's operation (n=3), and subtotal gastrectomy (n=18). Postoperative rebleeding rate was 19.4% (6/31) and was the highest in simple suture procedure. Mortality rate was 25.8% (8/31)
peptic ulcer ; Therapeutics ; surgery ; Hemorrhage

Humans ; Peptic Ulcer ; complications ; surgery

A retrospective survey was conducted on 62 patients aged 20-70 years during the period from 1995-1997 with a gender ratio of 64.5%/34.5% (male/female). Subjects were diagnosed as bile duct occlusion icteria due to the tumors of pancreatic head. Not any surgical interventions were performed. Main clinical signs were progressive jaundice, no fever, weigh loss, white faeces, and large size of liver and pancreas. Hematological exams and imaging diagnosis including ultrasonography were carried out. Survival times of an average of 2.8 months for operable group and under 1 month for non operable group were noted
Bile Ducts ; Peptic Ulcer ; Pancreatic Diseases ; neoplasms ; surgery

OBJECTIVETo assess the safety and feasibility of laparoscopic and open repair of perforated peptic ulcer.

METHODSStudies on comparison between laparoscopic repair(LR) and open repair(OR) of perforated peptic ulcer were collected. Data of operating time, blood loss, time to first flatus, postoperative hospital stay, postoperative complications and mortality between LR group and OR group were meta-analyzed using fixed effect model and random effect model.

RESULTSNineteen studies including 1507 patients were selected for this study,including laparoscopic surgery(n=673) and open surgery(n=834). There were significant differences in blood loss, time to first flatus, postoperative hospital stay, wound infection rate and mortality between LR group and OR group. However, no significant differences existed in operative time, postoperative sepsis, pulmonary infection, abdominal abscess, and suture leakage between the two groups.

CONCLUSIONSLaparoscopic repair of perforated peptic ulcer is associated with improved outcomes in terms of less blood loss, quicker recovery, and lower rates of wound infection and mortality. Laparoscopic repair of perforated peptic ulcer is safe and feasible.

Gastrointestinal complications may follow organ transplantation. A patient who underwent heart lung transplantation due to patent ductus arteriosus and Eisenmenger's syndrome had an episode of acute cardiac rejection and was treated with a bolus injection of methylprednisolone followed by a high oral dose of prednisone. On the 22nd postoperative day, the patient complained of acute abdominal pain with muscular rigidity and a plain chest x-ray showed free air in the right subdiaphragmatic area. Under the suspicion of bowel perforation, an emergency laparotomy was performed and the perforated stomach had a wedge-shaped resection that included the perforation. Following the laparotomy, the postoperative course was uneventful and the patient was discharged on post-laparotomy day 10.
Adult ; Heart-Lung Transplantation/*adverse effects ; Human ; Male ; Peptic Ulcer Perforation/*etiology/*surgery ; Stomach Ulcer/*surgery