No abstract available.
Peptic Ulcer Perforation* ; Peptic Ulcer*

No abstract available.
Peptic Ulcer Perforation* ; Peptic Ulcer*

No abstract available.
Peptic Ulcer Perforation* ; Peptic Ulcer*

No abstract available.
Peptic Ulcer Perforation* ; Peptic Ulcer*

From 1982, The Abdominal Surgery Department of the Hospital 103 had applied gastropneumography to diagnose suspected gastroduodenal perforation in patients without subphrenic sickle-air. Air was pumped through nasogastric tube with a volume of 700 ml to 1000 ml. By this technique, definite diagnosis of perforation was made and the surgery was indicated early. Sensitivity of the technique was 82.6%. This technique should be recommended in medical units, where emergency abdominal operation can be performed early to restrict potential complications.
Peptic Ulcer Perforation ; Diagnosis

From 1982, the abdominal surgery department of Hospital No 103 had applied Gastropneumography to diagnose suspecting gastroduodenal perforation patients without subphrenic sickle-air. Volume air was pumped into stomach through nasogastrotube from 700 ml to 1000 ml. The technique gave determined diagnosis of perforation and operating indication early which helped to restrict complication of perforation. The sensitivity of technique was 82.6%. There was no noticeable catastrophe that involved in technique in this study
Peptic Ulcer Perforation ; Diagnosis

Owing to the low incidence of peptic ulcers in children, the early symptoms of the disease are sometimes overlooked, which result in grave complications such as a perforation or hemorrhagic shock. Recently, as a result of the increasing use of endoscopy, the incidence of peptic ulcers in children has increased. This means that the disease might have been underdiagnosed in the past. Although some cases of peptic ulcer perforation or bleeding in children were reported, a case of a peptic ulcer combined with a perforation and hemorrhage has not been reported. We experienced a 19 months old patient in shock with a perforated duodenal ulcer and hemorrhage.
Child* ; Duodenal Ulcer* ; Endoscopy ; Hemorrhage* ; Humans ; Incidence ; Infant ; Peptic Ulcer ; Peptic Ulcer Perforation ; Shock ; Shock, Hemorrhagic

If peptic ulcer perforates in the presence of shock or concurrent medical disease or delay of operation, the postoperative morbidity and mortality are high. Years ago most discussion was on whether urgent definite surgery was the most effect therapy, nowadays there is a tendency to less invasive measures in risk situation. Although the simple closure or omental patching has its weak point of high frequency of symptomatic relapse, it is a simple and safe method with the advantage of having a low complication rate than other definite operations. So many surgeons frequently use this simple method in high risk situation. But in the rare instance of large perforation of prepyloric ulcer, this simple closure method is not safe to apply. The authors experienced an unusual case of large prepyloric ulcer perforation in an 80 year old female who had undergone a previous operation(choledocho-duodenostomy). Moreover she had suffered from several concurrent medical diseases and the operation was delayed. We succeeded in repairing the perforation using controlled gastrostomy and omental patching method, and present this case with a review of the literature.
Aged, 80 and over ; Female ; Gastrostomy* ; Humans ; Mortality ; Peptic Ulcer Perforation* ; Peptic Ulcer* ; Recurrence ; Shock ; Ulcer

PURPOSE: Among the surgeries that can be performed for patients with acute peptic ulcer perforation, the frequency of performing laparoscopic surgeries is gradually increasing and it is being reported that laparoscopic surgeries have many advantages over laparotomies. So we will examined if laparoscopic surgery has advantages as compared to open surgery for appropriately selected patients. METHODS: The subjects were 15 patients who were diagnosed with peptic ulcer perforation and they were operated on by a single surgeon between September 2007 and January 2009 at the National Medical Center. The subjects were divided into an LG and an OG. Statistical analyses were performed using two-tailed students T-tests. RESULTS: There were 6 patients in the LG and 9 patients in the OG. All the patients in the two groups were male. The time until fist flatulence was 1.6 days in the LG and 2.6 days in the OG. The time until the first oral intake was 3 days in the LG and 3.4 days in the OG. The time during which pain control was necessary was 2.6 (range: 2~4) days in the LG and 3.3 (range: 2~4) days in the OG. The number of days of the hospital stay after surgery was 5.6 days (range: 4~7) in the LG and 10 days (range: 6~26) in the OG. There were 2 cases of complications in the OG only, and all of them were wound infections. CONCLUSION: It is thought that laparoscopic surgeries can be performed relatively easily and safely for patients with peptic ulcer perforation by selecting appropriate patients.
Flatulence ; Humans ; Laparoscopy ; Laparotomy ; Length of Stay ; Male ; Peptic Ulcer ; Peptic Ulcer Perforation

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.