Perforated duodenal ulcer in the third trimester of pregnancy

Perforated duodenal ulcer: which operation?

Between January 1968 and December 1977 a total of 230 patients with a perforated duodenal ulcer underwent emergency operation in the Royal Victoria Hospital. Simple suture closure of the perforation was carried out in 205, and in the remaining 25 a definitive ulcer procedure was performed in addition. Four patients died following operation, a mortality rate of 1.7%.During a mean follow-up perio...

Indomethacin and perforated duodenal ulcer.

of a preceding pregnancy had any effect on the outcome of the subsequent pregnancy. A first, second, or third pregnancy was taken as the index pregnancy and the outcome of the subsequent pregnancy examined. The distribution of social classes in the sample was: class I, 12 %; class II, 16 %; class III, 48 %; class IV, 13 %; class V, 4 %; and 7% of patients were of unknown social class. The table...

The late prognosis of perforated duodenal ulcer.

One hundred and seventy cases of perforated duodenal ulcer have been followed up after eight to 10 years. Simple suture of the perforation is recommended. The decision to perform elective surgery is best made during the first two years after perforation rather than at the time of the emergency procedure.

The Sixth Decision Regarding Perforated Duodenal Ulcer

This presentation reviews the literature regarding the current surgical treatment of perforated ulcers, describes the surgical techniques for laparoscopic repair, and reviews the clinical algorithm used by laparoscopic surgeons at Duke University Medical Center.

Perforated Duodenal Ulcer in High Risk Patients