Our Clinical Experiments of Peptic Ulcer Perforation with Literature Approache

Abstract

INTRODUCTION: Although peptic ulcer perforation is the most common emergency surgical cause of gastroduodenal ulcer complications, it is a serious surgical emergency due to morbidity / mortality related to secondary peritonitis and sepsis. In this study, we present our patients who underwent peptic ulcer perforation surgery with new literature approaches. METHODS: Patients who underwent surgery for the diagnosis of peptic ulcer perforation between February 2010 and February 2018 in our clinic were evaluated. The patients' ages, surgical techniques, perforation diameters, localization of perforation, pathological specimens taken during surgery, length of hospital stay and mortality were evaluated retrospectively. RESULTS: Since perforation localization was not specified in the operation notes of 12 of 99 patients who underwent peptic ulcer perforation surgery in our clinic, the cases were excluded from the study. The mean age of the 87 cases was 45.6 (15-84) years. 77 of the cases were male and 10 were female. 84 patients underwent Graham procedure and 2 patients underwent Distal Subtotal Gastrectomy. Since only one patient had intraoperative ex, only diagnostic laparotomy could be performed. The length of hospital stay was 7.95 (0-63 days); our mortality was 8% (7 cases). DISCUSSION AND CONCLUSION: Peptic ulcer perforation is an emergency surgical condition that can cause serious morbidity and mortality; it should be kept in mind that it is a disease that can be easily treated with an easy-to-apply surgical method such as Graham method simple closure.

Keywords

• complication
• mortality
• peptic ulcer
• perforation.