6,922 results match your criteria Perforated Peptic Ulcer


Laparoscopic and open repair for perforated duodenal ulcer: single-center experience.

Wideochir Inne Tech Maloinwazyjne 2019 Jan 11;14(1):60-69. Epub 2018 Jun 11.

Department of Surgery 1, Yerevan State Medical University, Yerevan, Armenia.

Introduction: Perforation is a dangerous complication of peptic ulcer disease and requires emergency surgical treatment. In recent decades laparoscopic repair of duodenal perforation has been widely used in emergency abdominal surgery.

Aim: To analyze laparoscopic and open surgical treatment of 120 consecutive patients with perforated duodenal ulcer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5114/wiitm.2018.76281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372872PMC
January 2019

Intra- abdominal sepsis from a perforated duodenal ulcer-Management of a difficult surgical abdomen.

Int J Surg Case Rep 2019 Feb 1;55:171-173. Epub 2019 Feb 1.

Department of Surgery, College of Health Sciences, University of Nairobi, Kenya.

Introduction: Peptic ulcer perforation is a common surgical emergency that is a complication of 9% of patients with peptic ulcer disease (Kjetil et al., 2015 [1]). Despite advances in the management of peptic ulcer disease, the number of acute complications have remained constant. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2019.01.033DOI Listing
February 2019
1 Read

Is the Platelet to Lymphocyte Ratio a Potential Biomarker for Predicting Mortality in Peptic Ulcer Perforation?

Surg Infect (Larchmt) 2019 Feb 8. Epub 2019 Feb 8.

Kirikkale University School of Medicine, Department of General Surgery, Kirikkale, Turkey.

Background: Despite surgical treatment of peptic ulcer perforation (PUP), the high rates of morbidity and mortality have motivated researchers to search for new laboratory markers to predict morbidity and mortality. The aim of this study was to investigate the relation between pre-operative laboratory values and demographic factors and post-operative mortality in patients undergoing surgery for PUP.

Patients And Methods: A retrospective study was made of the clinical findings and laboratory data of patients operated on for a diagnosis of PUP in the general surgery clinic between 2014 and 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2018.288DOI Listing
February 2019
1 Read

Covered Self-expandable Metallic Stent Insertion as a Rescue Procedure for Postoperative Leakage after Primary Repair of Perforated Duodenal Ulcer.

Korean J Gastroenterol 2018 Nov;72(5):262-266

Division of Gastroenterology, Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4166/kjg.2018.72.5.262DOI Listing
November 2018
1 Read

Acute tension pneumopericardium due to perforated gastric ulcer without diagnostic radiographic findings 72 h before perforation.

J Cardiol Cases 2018 Dec 2;18(6):201-203. Epub 2018 Oct 2.

Department of Cardiology, Helios University Hospital and University of Witten/Herdecke, Wuppertal, Germany.

Introduction: Acute tension pneumopericardium due to gastric perforation is a rare and often lethal condition. Only a few case reports have been described in the literature. Diagnosis based on clinical evaluation is difficult and it is usually made incidentally upon computed tomography (CT) or plain radiography of the chest. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jccase.2018.07.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306572PMC
December 2018
2 Reads

Gastric Stump Cancer Following Gastrectomy After Renal Transplantation: A Case Report.

Transplant Proc 2018 Dec 29;50(10):3973-3977. Epub 2018 May 29.

Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

A patient who had previously undergone a gastrectomy due to gastric ulcer perforation was admitted to our hospital. He presented with epigastric pain and poor oral intake accompanied with gastrointestinal bleeding, and was diagnosed with gastric stump cancer. He had a history of renal transplantation and was administered immunosuppressive agents. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00411345183072
Publisher Site
http://dx.doi.org/10.1016/j.transproceed.2018.05.016DOI Listing
December 2018
8 Reads

A 57-Year-Old Man With Subacute Progressive Hemoptysis and Fevers.

Chest 2018 Dec;154(6):e181-e185

Department of Medicine, The University of Texas Southwestern Medical Center, Dallas, TX. Electronic address:

Case Presentation: A 57-year-old man was admitted for 1 month of accelerating hemoptysis and hematemesis. Two weeks earlier, he first presented with fevers and hemoptysis of 2 weeks' duration and was diagnosed with community-acquired pneumonia treated with 5 days of ceftriaxone and azithromycin. He improved and was discharged, but his hemoptysis recurred 1 day after discharge and progressed over 9 days, leading to the present admission. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00123692183112
Publisher Site
http://dx.doi.org/10.1016/j.chest.2018.07.027DOI Listing
December 2018
6 Reads

Laparoscopic Repair for Perforated Peptic Ulcer Disease Has Better Outcomes Than Open Repair.

J Gastrointest Surg 2018 Nov 21. Epub 2018 Nov 21.

The Whiteley-Martin Research Centre, Discipline of Surgery, Nepean Hospital, The University of Sydney, Level 5, South Block, P.O. Box 63, Penrith, NSW, 2751, Australia.

Purpose: Over the last 3 decades, laparoscopic procedures have emerged as the standard treatment for many elective and emergency surgical conditions. Despite the increased use of laparoscopic surgery, the role of laparoscopic repair for perforated peptic ulcer remains controversial among general surgeons. The aim of this study was to compare the outcomes of laparoscopic versus open repair for perforated peptic ulcer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11605-018-4047-8DOI Listing
November 2018
17 Reads

Gastroduodenal perforation in the pediatric population: a retrospective analysis of 20 cases.

Pediatr Surg Int 2018 Nov 17. Epub 2018 Nov 17.

The Research Institute at Nationwide Children's Hospital, The Ohio State University School of Medicine, 700 Children's Drive, Columbus, OH, 43205, USA.

Objective: The aim of this study was to investigate the pathogenesis, symptoms and individualized surgical management in pediatrics with gastroduodenal perforation (GDP).

Methods: Patients diagnosed with GDP from January 2013 to December 2016 in our hospital were collected and divided into gastric perforation (GP) group and duodenal perforation (DP) group. Demographics, clinical events, etiological factors, symptoms, the time from symptom onset to operation, intraoperative findings and surgical procedures were analyzed. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00383-018-4420-4
Publisher Site
http://dx.doi.org/10.1007/s00383-018-4420-4DOI Listing
November 2018
13 Reads

Management of perforated duodenal peptic ulcer treated by suture.

Tunis Med 2018 Jul;96(7):424-429

Background: Laparoscopic surgery has become the gold standard for many procedures owing to its advantages such as a shorter post-operative stay, a faster recovery and less postoperative pain. However, choosing laparoscopic approach in an emergency situationsuch as in the management of a perforated duodenal peptic ulcer is still debated because of the absence of significant benefits. This study aimed to assess the management of perforated duodenal peptic ulcer treated by suture. Read More

View Article

Download full-text PDF

Source
July 2018
31 Reads

Incidence and Outcomes of Perforated Peptic Ulcers in Children: Analysis of the Kid's Inpatient Database and Report of Two Cases Treated by Laparoscopic Omental Patch Repair.

J Laparoendosc Adv Surg Tech A 2019 Feb 23;29(2):248-255. Epub 2018 Oct 23.

1 Division of Pediatric Surgery, Department of Surgery, Saint Louis University School of Medicine , Saint Louis, Missouri.

Introduction: Peptic ulcer disease (PUD) is a rare condition in children. Perforated peptic ulcer (PPU), a complication of PUD has an estimated mortality between 1.3% and 20%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/lap.2018.0186DOI Listing
February 2019
7 Reads

Metagenome Analysis as a Tool to Study Bacterial Infection Associated with Acute Surgical Abdomen.

J Clin Med 2018 Oct 12;7(10). Epub 2018 Oct 12.

Division of Plastic Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan.

Background: The purpose of this study was to profile the bacterium in the ascites and blood of patients with acute surgical abdomen by metagenome analysis.

Methods: A total of 97 patients with acute surgical abdomen were included in this study. Accompanied with the standard culture procedures, ascites and blood samples were collected for metagenome analysis to measure the relative abundance of bacteria among groups of patients and between blood and ascites. Read More

View Article

Download full-text PDF

Source
http://www.mdpi.com/2077-0383/7/10/346
Publisher Site
http://dx.doi.org/10.3390/jcm7100346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210133PMC
October 2018
3 Reads

Perforated Peptic Ulcer Surgery: Decreased Length of Stay but No Difference in Mortality with Laparoscopic Repair.

Surg Laparosc Endosc Percutan Tech 2018 Dec;28(6):410-415

Division of Trauma, Burns, Critical Care & Acute Care Surgery, University of California, Orange.

Background: Perforated peptic ulcer (PPU) surgery mortality ranges 1% to 24%. We hypothesized a decrease in length of stay (LOS) with laparoscopic surgical repair (LSR) compared with open surgical repair (OSR).

Methods: Patients undergoing PPU surgery 2005 to 2015 were identified in NSQIP. Read More

View Article

Download full-text PDF

Source
http://Insights.ovid.com/crossref?an=00129689-900000000-9946
Publisher Site
http://dx.doi.org/10.1097/SLE.0000000000000584DOI Listing
December 2018
4 Reads

Early Emergency General Surgery Is Associated with a Higher Incidence of Clostridium difficile Infection.

Surg Infect (Larchmt) 2019 Jan 9;20(1):10-15. Epub 2018 Oct 9.

1 Department of Surgery, Washington University in St. Louis , St. Louis, Missouri.

Background: Clostridium difficile infection (CDI) is an important surgical complication. Emergency general surgery (EGS) is a developing area of the acute care surgical practice. Few studies evaluating the incidence and risk factors of CDI in this patient population are available. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2018.183DOI Listing
January 2019
4 Reads

End Stage Renal Disease Is Associated with Increased Mortality in Perforated Gastroduodenal Ulcers.

Am Surg 2018 Sep;84(9):1466-1469

Patients with end stage renal disease (ESRD) represent a growing subset of surgical candidates and ESRD status has been associated with increased morbidity and mortality in other operations. Using a national database, we examined outcomes and risk factors for patients presenting with perforated gastroduodenal ulcers undergoing omentopexy. We identified adult and emergent patients with perforated duodenal and gastroduodenal ulcers that underwent omentopexy using the 2005 to 2012 Nationwide Inpatient Sample. Read More

View Article

Download full-text PDF

Source
September 2018
13 Reads

Laparoscopy is an available alternative to open surgery in the treatment of perforated peptic ulcers: a retrospective multicenter study.

BMC Surg 2018 Sep 25;18(1):78. Epub 2018 Sep 25.

Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.

Background: Perforated peptic ulcers (PPU) remain one of the most frequent causes of death. Their incidence are largely unchanged accounting for 2-4% of peptic ulcers and remain the second most frequent abdominal cause of perforation and of indication for gastric emergency surgery. The minimally invasive approach has been proposed to treat PPU however some concerns on the offered advantages remain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12893-018-0413-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6156951PMC
September 2018
3 Reads

Acid Peptic Disease.

Surg Clin North Am 2018 Oct;98(5):933-944

Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA.

The management of peptic ulcer disease has radically changed over the last 40 years from primarily surgical treatment to medical therapy nearly eliminating the need for elective surgery in these patients. Although there has been a decline in patients requiring acute surgical intervention for complications of peptic ulcer disease (perforation, bleeding, and obstruction), these patients still make up a significant proportion of hospital admissions every year. The modern acute care surgeon must have significant knowledge of the multiple treatment modalities used to appropriately care for these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.suc.2018.06.003DOI Listing
October 2018
3 Reads

[Recurrent bleeding of a duodenal ulcer in a 55-year-old man after heart transplantation].

Internist (Berl) 2018 Sep 21. Epub 2018 Sep 21.

Institut für Pathologie Bonn-Duisdorf, Bonn, Deutschland.

Duodenal ulcers are most often caused by Helicobacter pylori (HP) infection, followed by nonsteroidal anti-inflammatory drugs and hypoperfusion. Posttransplant lymphoproliferative disorder (PTLD) occurs in about 1-6.3% of patients with a heart transplant under immunosuppression therapy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00108-018-0492-4DOI Listing
September 2018
3 Reads

Peptic Ulcer Disease and infection.

Mo Med 2018 May-Jun;115(3):219-224

Elizabeth Marsicano, MD, is an Assistant Professor of Internal Medicine in the Division of Gastroenterology and Hepatology, Saint Louis University School of Medicine, St. Louis, Mo.

Peptic ulcer disease (PUD) is a common condition that both primary care providers and gastroenterologists encounter. Symptoms of peptic ulcer disease are variable and may include abdominal pain, nausea, vomiting, weight loss and bleeding or perforation with complicated disease. Identifying the risk factors and mechanisms that lead to the development of PUD helps to understand the approach behind diagnostic and treatment strategies. Read More

View Article

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140150PMC
September 2018
4 Reads

Disparities in peptic ulcer disease: A nationwide study.

Am J Surg 2018 Dec 7;216(6):1127-1128. Epub 2018 Sep 7.

Division of Trauma, Burns, and Surgical Critical Care, Brigham and Women's Hospital, Boston, MA, USA.

Background: While advances in diagnosis and treatment of peptic ulcer disease have led to a decrease in hospital admissions the socioeconomic distribution of these benefits is unknown.

Methods: We designed a retrospective cohort study using the National Inpatient Sample from 2012 to 2013 including all patients that were admitted for peptic ulcer disease. We compared the types of ulcer related complications, the rates of intervention and the outcomes based on race and insurance status. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00029610183070
Publisher Site
http://dx.doi.org/10.1016/j.amjsurg.2018.08.025DOI Listing
December 2018
12 Reads

Surgeon-driven variability in emergency general surgery outcomes: Does it matter who is on call?

Surgery 2018 Nov 31;164(5):1109-1116. Epub 2018 Aug 31.

Center for Surgery and Public Health, Brigham & Women's Hospital, Boston, MA; Department of Surgery, Brigham & Women's Hospital, Boston, MA.

Background: Hospital-level variation has been found to influence outcomes in emergency general surgery. However, whether the individual surgeon plays a role in this variation is unknown.

Methods: We performed an analysis of the Florida State Inpatient Database (2010-2014), which is linked to the American Hospital Association's Annual Survey Database, including patients who emergently underwent 1 or more of 7 procedures (laparotomy, adhesiolysis, small bowel resection, colectomy, repair of a perforated gastric ulcer, appendectomy, or cholecystectomy). Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00396060183041
Publisher Site
http://dx.doi.org/10.1016/j.surg.2018.07.008DOI Listing
November 2018
8 Reads

Short-term outcomes after emergency surgery for complicated peptic ulcer disease from the UK National Emergency Laparotomy Audit: a cohort study.

BMJ Open 2018 Aug 20;8(8):e023721. Epub 2018 Aug 20.

Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Objectives: This study used national audit data to describe current management and outcomes of patients undergoing surgery for complications of peptic ulcer disease (PUD), including perforation and bleeding. It was also planned to explore factors associated with fatal outcome after surgery for perforated ulcers. These analyses were designed to provide a thorough understanding of current practice and identify potentially modifiable factors associated with outcome as targets for future quality improvement. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-023721DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104767PMC
August 2018
5 Reads

Validation of the AAST EGS grading system for perforated peptic ulcer disease.

Surgery 2018 10 4;164(4):738-745. Epub 2018 Aug 4.

Department of Surgery, Pietermaritzburg Metropolitan Complex, University of Kwa-Zulu Natal, South Africa. Electronic address:

Introduction: Perforated peptic ulcer disease (PPUD) including both duodenl and gastric ulcers is a severe disease and outcomes are influenced by comorbidities and physiology. We validated the AAST EGS grading system at two diverse centers (Mayo Clinic, USA and Pietermaritzburg, South Africa).

Methods: Dual-center review of historic data (2010-2016) of adults with PPUD was performed. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00396060183033
Publisher Site
http://dx.doi.org/10.1016/j.surg.2018.05.061DOI Listing
October 2018
12 Reads
3.380 Impact Factor

Gastroduodenal Surgery: A Persistent and Continuing Challenge.

Am Surg 2018 Jul;84(7):1204-1206

The number of patients being treated surgically for gastroduodenal disease has decreased over the past five decades as a result of focus on medical treatment. However, perforated and bleeding peptic ulcer disease (PUD) continues to represent a significant percentage of patients who require emergency surgery. The aim of this study was to characterize these critically ill surgical patients treated for gastroduodenal disease in our hospital. Read More

View Article

Download full-text PDF

Source
July 2018
4 Reads

Surgical repair of perforated peptic ulcers: laparoscopic versus open approach.

Surg Endosc 2019 Jan 24;33(1):281-292. Epub 2018 Jul 24.

Department of Surgery, University of Minnesota, Minneapolis, USA.

Introduction: Perforated peptic ulcers are a surgical emergency that can be repaired using either laparoscopic surgery (LS) or open surgery (OS). No consensus has been reached on the comparative outcomes and safety of each approach.

Methods: Using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database, we conducted a 12-year retrospective review (2005-2016) and identified 6260 adult patients who underwent either LS (n = 616) or OS (n = 5644) to repair perforated peptic ulcers. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-018-6366-yDOI Listing
January 2019
13 Reads

Pre-Operative Anti-Fungal Therapy Does Not Improve Outcomes in Perforated Peptic Ulcers.

Surg Infect (Larchmt) 2018 Aug/Sep;19(6):587-592. Epub 2018 Jul 23.

1 Department of Surgery, Washington University in St Louis , St. Louis, Missouri.

Background: With the advent of anti-Helicobacter pylori therapy, hospital admissions for peptic ulcer disease (PUD) have declined significantly since the 1990s. Despite this, operative treatment of PUD still is common. Although previous papers suggest that Candida in peritoneal fluid cultures may be associated with worse outcomes in patients with perforated peptic ulcers (PPUs), post-operative anti-fungal therapy has not been effective. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/sur.2018.058DOI Listing
November 2018
18 Reads

Laparoscopic surgery for perforated peptic ulcer: an English national population-based cohort study.

Surg Endosc 2018 Sep 19;32(9):3783-3788. Epub 2018 Jul 19.

Department of Surgery & Cancer, Imperial College London, London, UK.

Background: Randomized controlled trials have shown that laparoscopic approach to surgery for perforated peptic ulcer (PPU) is associated with improved short-term outcomes; however, there is limited evidence concerning national practice. The aim of this investigation was to evaluate the effect of laparoscopic approach to PPU surgery upon mortality and morbidity in England.

Methods: Patients with a primary diagnosis of PPU, admitted as an emergency to a hospital in England, and receiving surgical intervention, between 2005 and 2012 were identified from the Hospital Episode Statistics database. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-018-6058-7DOI Listing
September 2018
5 Reads

The influence of payor status on outcomes associated with surgical repair of upper gastrointestinal perforations due to peptic ulcer disease in the United States.

Am J Surg 2019 Jan 2;217(1):121-125. Epub 2018 Jul 2.

Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: An association between lack of insurance and inferior outcomes has been well described for a number of surgical emergencies, yet little is known about the relationship of payor status and outcomes of patients undergoing emergent surgical repair for upper gastrointestinal (UGI) perforations. We evaluated the association of payor status and in-hospital mortality for patients undergoing emergency surgery for UGI perforations in the United States.

Methods: Nationwide Inpatient Sample (NIS) was queried to identify patients between 18 and 64 years of age who underwent emergent (open or laparoscopic) repair for UGI perforations secondary to peptic ulcer disease (2010-2014). Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00029610183023
Publisher Site
http://dx.doi.org/10.1016/j.amjsurg.2018.06.025DOI Listing
January 2019
7 Reads

A comparison of short-term outcomes between laparoscopic and open emergent repair of perforated peptic ulcers.

Surg Endosc 2018 Jul 11. Epub 2018 Jul 11.

Department of Surgery, University of Kentucky, 800 Rose Street, MN274, Lexington, KY, 40536-0298, USA.

Background: We compared 30-day outcomes in patients undergoing emergent open and laparoscopic repair of perforated peptic ulcers in a large multicenter cohort.

Methods: Prospectively obtained data in the American College of Surgeons National Surgical Quality Improvement Program public use files from 2010 to 2016 were reviewed. Perioperative risks and outcomes were compared in unmatched and propensity-matched groups using parametric/non-parametric statistical tests as appropriate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-018-6341-7DOI Listing
July 2018
8 Reads

Delayed surgery in a patient with pneumococcal peritonitis and bacteremia secondary to perforation of gastroduodenal ulcer: A case report.

Medicine (Baltimore) 2018 Jul;97(28):e11323

Service de réanimation polyvalente.

Rationale: Very few cases of secondary peritonitis caused by Streptococcus pneumoniae have been described in the literature, and they have been found to occur mostly in patients with predisposing factors. Here, we report the case of an elderly patient who developed pneumococcal peritonitis secondary to perforation of gastroduodenal ulcer.

Patient Concerns: An 82-year-old man was admitted to intensive care unit (ICU) for septic shock with cardiac impairment 1 day after arriving in the Emergency Department. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000011323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076138PMC
July 2018
8 Reads

[Fast track rehabilitation in perforated duodenal ulcer].

Khirurgiia (Mosk) 2018(6):58-61

Department of Surgery and Endoscopy Faculty of Additional Professional Education, Pirogov Russian National Research Medical University, Moscow, Russia, Buyanov Municipal Clinical Hospital of Moscow Healthcare Department, Moscow, Russia.

Aim: To analyze the outcomes of fast track rehabilitation program in patients with perforated duodenal ulcer (PDU).

Material And Methods: For the period 2013-2016 at the Department of Surgery and Endoscopy 206 PDU patients have been treated. Inclusion criterion for the main group (n=77) was duodenal ulcers, their dimension up to 1 cm, laparoscopic suture of perforated ulcer, fast track rehabilitation program implementation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia2018658-61DOI Listing
October 2018

Acute Myocardial Infarction with Simultaneous Gastric Perforation.

Clin Pract Cases Emerg Med 2017 Aug 9;1(3):179-182. Epub 2017 May 9.

Kern Medical, Department of Emergency Medicine, Bakersfield, CA.

Acute myocardial infarction and perforated peptic ulcer disease with associated peritonitis are both medical emergencies requiring urgent intervention. This patient presented with both emergencies simultaneously. Current literature is devoid of guidance as to which should be addressed initially. Read More

View Article

Download full-text PDF

Source
http://escholarship.org/uc/item/3kb1r235
Publisher Site
http://dx.doi.org/10.5811/cpcem.2017.2.33433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965164PMC
August 2017
7 Reads

Diverticular Perforation: A Fatal Complication to Forestall in Cushing Syndrome.

J Clin Endocrinol Metab 2018 Aug;103(8):2811-2814

Diabetes, Obesity and Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland.

Context: Patients taking exogenous glucocorticoids are at risk for gastrointestinal (GI) complications, including peptic ulcer disease with perforation and gastric bleeding. However, little is known about the GI comorbidity in patients with endogenous hypercortisolemia.

Case Descriptions: We describe six patients with endogenous Cushing syndrome (CS) who developed sudden perforation of colonic diverticula necessitating urgent exploratory laparotomy. Read More

View Article

Download full-text PDF

Source
https://academic.oup.com/jcem/article/103/8/2811/5005946
Publisher Site
http://dx.doi.org/10.1210/jc.2018-00829DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276718PMC
August 2018
10 Reads

Laparoscopic versus open repair of perforated peptic ulcer: A retrospective cohort study.

Asian J Endosc Surg 2018 May 27. Epub 2018 May 27.

Department of Upper Gastrointestinal/Hepatopancreaticobiliary Surgery, Monash Medical Centre, Melbourne, Victoria, Australia.

Introduction: Perforated peptic ulcer disease (PPU) is a condition subject to wide geographical variations in incidence. It remains a significant cause of morbidity and mortality, even in the era of Helicobacter pylori eradication and proton-pump inhibitor therapy. There is no clear consensus on whether laparoscopic or open approaches are superior, and with most studies in this area originating from Europe and Asia, Australian data addressing this issue are lacking. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ases.12600DOI Listing

Total Gastric Necrosis Due to Mucormycosis: A Rare Case of Gastric Perforation.

Am J Case Rep 2018 May 4;19:527-533. Epub 2018 May 4.

Department of Pathology, Al-Amiri Hospital, Kuwait City, Kuwait.

BACKGROUND Spontaneous gastric perforation is usually a complication of peptic ulcer disease, or a postoperative complication resulting from gastric torsion. Mucormycosis (or zygomycosis) is an uncommon opportunistic fungal infection that is usually seen in immunocompromised patients and is associated with significant morbidity and mortality. This report is of a rare case of spontaneous gastric perforation due to mucormycosis infection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12659/AJCR.908952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5956728PMC
May 2018
5 Reads

Perforated duodenal ulcers after Roux-Y Gastric Bypass.

Am J Emerg Med 2018 Aug 25;36(8):1525.e1-1525.e3. Epub 2018 Apr 25.

Clinic for Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Even though the incidence of complicated peptic ulcer disease (PUD) has decreased in the last decades, it remains a condition with a significant mortality. Whilst diagnosis and treatment of PUD in morbidly obese patients can be challenging, patients with excluded segments - such as after Roux-Y Gastric Bypass (RYGB) - present an even greater problem, as the subsequent altered anatomy impedes the common modalities used for diagnostic and therapeutic measures. We report the cases of two patients after RYGB with perforated duodenal ulcers in the intention to highlight problems regarding diagnosis and treatment. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07356757183035
Publisher Site
http://dx.doi.org/10.1016/j.ajem.2018.04.057DOI Listing
August 2018
34 Reads

Meta-analysis of perioperative outcomes of acute laparoscopic versus open repair of perforated gastroduodenal ulcers.

J Trauma Acute Care Surg 2018 Aug;85(2):417-425

From the Department of General and Oncologic Surgery, University of Perugia, Terni, Italy (R.C, E.R.); University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK (K.S.); Emergency Surgery and Trauma Surgery Unit, Maggiore Hospital Trauma Center, Bologna, Italy (S.D.S.); Department of Surgical Sciences (A.A.), University of Turin, Turin, Italy; Department of General Surgery (M.Z.), Policlinico San Pietro, Ponte San Pietro, Italy; Health Planning Service, Regional Health Authority of Umbria, Perugia, Italy (I.A.); Department of Surgery (N.V.), Montichiari Hospital, ASST Spedali Civili Brescia, Brescia, Italy; Emergency Surgery Unit, Cisanello Hospital, University of Pisa, Pisa, Italy (M.C.); Department of Gastrointestinal Surgery (K.S.), Stavanger University Hospital, Stavanger, Norway; and Department of Clinical Medicine (K.S.), University of Bergen, Bergen, Norway.

Background: Surgery is the treatment of choice for perforated peptic ulcer disease. The aim of the present review was to compare the perioperative outcomes of acute laparoscopic versus open repair for peptic ulcer disease.

Methods: A systematic literature search was performed for randomized controlled trials (RCTs) published in PubMed, SCOPUS, and Web of Science. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/TA.0000000000001925DOI Listing
August 2018
4 Reads

Delayed Splenic Rupture Resulting in Massive Intraperitoneal Hemorrhage Post Ambulatory-Related Injury.

Cureus 2018 Feb 5;10(2):e2160. Epub 2018 Feb 5.

College of Medicine, Texas A&M College of Medicine.

Delayed splenic rupture, once thought to be unusual, but now growing in incidence, is an issue that could potentiate severe morbidity and mortality to patients, regardless of the severity of the trauma. This case report presents one instance of delayed splenic rupture following minor trauma and discusses the need for further investigation in the management of this condition. A middle-aged, hypotensive male presented to the emergency department (ED) with signs of an acute abdomen following a syncopal episode, with successful resuscitation upon arrival. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886733PMC
February 2018
18 Reads

Perforated gastric remnant ulcer after laparoscopic gastric bypass.

BMJ Case Rep 2018 Apr 5;2018. Epub 2018 Apr 5.

Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

Ulcer perforation in the excluded stomach and duodenum is a rare complication after Roux-en-Y gastric bypass (RYGB). Pathogenesis of these ulcers are multifactorial. We report a case of perforated gastric remnant ulcer in a 54-year-old woman who had undergone a laparoscopic RYGB 5 years previously. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-222190DOI Listing
April 2018
4 Reads

Prehospital triage of patients diagnosed with perforated peptic ulcer or peptic ulcer bleeding: an observational study of patients calling 1-1-2.

Scand J Trauma Resusc Emerg Med 2018 Apr 5;26(1):25. Epub 2018 Apr 5.

Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.

Background: Triage systems are used in emergency medical services to systematically prioritize prehospital resources according to individual patient conditions. Previous studies have shown cases of preventable deaths in emergency medical services even when triage systems are used, indicating a potential undertriage among some conditions. The aim of this study was to investigate the triage level among patients diagnosed with perforated peptic ulcer (PPU) or peptic ulcer bleeding (PUB). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13049-018-0494-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885290PMC
April 2018
2 Reads

Perforation of a Peptic Ulcer in a Hiatal Hernia Into the Left Ventricle With Systemic Air and Food Embolism.

J Comput Assist Tomogr 2018 Sep/Oct;42(5):767-770

Department of Pathology, Shizuoka Medical Center, Shizuoka Prefecture, Japan.

Perforation of a peptic ulcer into the ventricle is uncommon, and the definitive diagnosis is difficult in living patients. We herein report a case of perforation of a peptic ulcer in a hiatal hernia into the left ventricle with systemic air and food embolism. This is the first case report of the perforation diagnosed by computed tomography and confirmed by autopsy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/RCT.0000000000000747DOI Listing
September 2018
13 Reads

Imaging Manifestations of Peptic Ulcer Disease on Computed Tomography.

Semin Ultrasound CT MR 2018 Apr 15;39(2):183-192. Epub 2017 Dec 15.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, CA; Zuckerberg San Francisco General Hospital, San Francisco, CA.

Although the overall prevalence of peptic ulcer disease (PUD) has decreased in modern times, its actual incidence may be underestimated owing to the nonspecific clinical presentations patients' manifest. The potential lethal complications that can result from PUD include life-threatening abdominal hemorrhage and bowel perforation that result in significant morbidity and mortality. Computed tomography (CT) imaging historically lacks specificity in detecting PUD-related pathology in the stomach and proximal small bowel segments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.sult.2017.12.002DOI Listing
April 2018
4 Reads

Routine blood group and antibody screening prior to emergency laparoscopy.

Ann R Coll Surg Engl 2018 Apr 27;100(4):322-325. Epub 2018 Feb 27.

Dudley Group NHS Foundation Trust , UK.

Introduction Studies show that rates of blood transfusion associated with general surgical laparoscopy are low. Currently, there are no national guidelines in the UK regarding blood group and antibody screening (G&S) for patients undergoing emergency laparoscopy. The aim of this study was to assess whether using G&S before emergency laparoscopic general surgery routinely is worthwhile by identifying rates of perioperative transfusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2018.0033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958864PMC

Feasibility of a novel laparoscopic technique with unidirectional knotless barbed sutures for the primary closure of duodenal ulcer perforation.

Surg Endosc 2018 Aug 22;32(8):3667-3674. Epub 2018 Feb 22.

Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University Postgraduate School of Medicine, 79 Gangnam-ro, Jinju, 52727, Republic of Korea.

Background: Laparoscopic primary repair is one of the main procedures used for perforated gastric ulcers, and this technique requires reproducible and secure suturing. The aim of this study was to investigate the safety and efficacy of a novel continuous suture method with barbed sutures during laparoscopic repair for perforated peptic ulcers.

Patients And Methods: Clinical data from 116 consecutive patients undergoing laparoscopic repair for perforated peptic ulcers were collected between November 2009 and October 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-018-6099-yDOI Listing
August 2018
16 Reads

Evaluation of risk factors for perforated peptic ulcer.

BMC Gastroenterol 2018 Feb 15;18(1):28. Epub 2018 Feb 15.

Division of General Internal Medicine, Department of Medicine, St. Luke's International Hospital, Tokyo, Japan.

Background: The aim of this study was to evaluate the prediction factors for perforated peptic ulcer (PPU).

Methods: At St. Luke's International Hospital in Tokyo, Japan, a case control study was performed between August 2004 and March 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12876-018-0756-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815199PMC
February 2018
2 Reads

Laparoscopic repair of perforated peptic ulcer.

Minerva Chir 2018 Apr 23;73(2):188-193. Epub 2018 Jan 23.

Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

Introduction: Perforations of the peptic ulcers (PPUs) are the most common cause of emergency surgery among the complications of the gastroduodenal ulcers and the leading cause for morbidity and mortality due to secondary peritonitis and sepsis. PPU is a condition in which laparoscopic perforation repair (LPR) is an optimal solution. It makes possible the identification of the perforation's site and allows closure of the perforation and the subsequent peritoneal lavage, as in an open repair (OR) but without the large upper mid-abdominal incision. Read More

View Article

Download full-text PDF

Source
https://link.springer.com/content/pdf/10.1007%2Fs00464-003-8
Web Search
https://www.minervamedica.it/index2.php?show=R06Y9999N00A180
Publisher Site
http://dx.doi.org/10.23736/S0026-4733.18.07603-4DOI Listing
April 2018
9 Reads

Emphysematous pancreatitis associated with penetrating duodenal ulcer.

World J Gastroenterol 2017 Dec;23(48):8666-8670

Unit of Internistic Ultrasound, Department of Medicine and Science of Aging, "G. D'Annunzio" University of Chieti, Chieti 66100, Italy.

In the "proton pump inhibitors era", a penetrating peptic ulcer (PPU) represents an exceptional cause of abdominal pain, and was more frequently observed in the past where there was not an effective antacid treatment. Ulcer-induced pancreatitis is very rare, too, and manifests with persistent, intense pain radiating to the back. A mild to severe pancreatitis with peripancreatic fluid collection can be observed at imaging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3748/wjg.v23.i48.8666DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5752726PMC
December 2017
4 Reads

Short- and long-term outcomes of surgical management of peptic ulcer complications in the era of proton pump inhibitors.

Eur J Trauma Emerg Surg 2018 Oct 22;44(5):795-801. Epub 2018 Jan 22.

Hillel Yaffe Medical Center, POB 169, 38100, Hadera, Israel.

Purpose: We evaluated the short-term and long-term outcomes of emergency operations for peptic ulcer (PUD) complications in a period of time in which the need for surgery is infrequent.

Methods: Retrospective review of operated patients (2007-2015) in one medical center.

Results: 81 patients were included (8. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-017-0898-zDOI Listing
October 2018
9 Reads

[Perforated chronic gastric ulcer in sliding hiatus hernia].

Khirurgiia (Mosk) 2017(12):78-81

War Veterans Hospital #2 of Moscow Healthcare Department.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/hirurgia20171278-81DOI Listing
March 2018
3 Reads

Is it possible to reduce the surgical mortality and morbidity of peptic ulcer perforations?

Turk J Surg 2017 1;33(4):267-273. Epub 2017 Dec 1.

Department of General Surgery, Haseki Training and Research Hospital, İstanbul, Turkey.

Objective: Peptic ulcer perforation is a life-threatening situation requiring urgent surgical treatment. A novel vision in peptic ulcer perforation is necessary to fill the gaps created by antiulcer medication, aging of the patients, and presentation of resistant cases in our era. In this study, we aimed to share our findings regarding the effects of various risk factors and operative techniques on the mortality and morbidity of patients with peptic ulcer perforation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/turkjsurg.2017.3670DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5731562PMC
December 2017
42 Reads