Aim: To determine the frequency of wound infection after duodenal ulcer perforation repair. Methodology: This descriptive Case series Study in department Surgery, Khyber Teaching Hospital from February 2021-July 2021, Peshawar. A total 123 patients with perforated ulcer, included those aged 20 to 60 years. Immuno-compromised patients, CRF & CLD were excluded. single dose broad-spectrum anti...

We present three cases of young male patients with perforated duodenal ulcer that were diagnosed and treated as appendicitis with appendectomy. They presented with peritonitis and were treated accordingly. Because of the misdiagnosis, their hospital course was significantly prolonged. This morbidity could have been avoided by careful history-taking, examination and per-operative findings.

Furthermore, patients admitted to hospital with a medical condition (e.g. cardiac failure) may also develop a surgical complication (e.g. perforated duodenal ulcer) that requires surgical expertise and transfer to a surgical team’s care. However, we now recognise that some patients are at particularly high risk of physiological deterioration or developing a complication (Table 1). Table 1: Pat...

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 success of the eradication treatment for Helicobacter pylori in managing ulcer disease has further refined the indications for ulcer surgery. More patients are spared unnecessary surgery and its untoward sequelae. It is intriguing that surgery has been effective, given that Helicobacter pylori infection is the underlying culprit. Recent studies show that the prevalence of Helicobacter pylor...

Endoscopic submucosal dissection (ESD) has gained popularity since it was first reported in Japan, and in recent years this modality has spread throughout the world. En bloc specimens that are resected by ESD contribute to accurate to the performance of pathological examinations upon which a patient’s treatment and prognosis relies (1). Primary duodenal adenoma and cancer are reported to accoun...

This report describes the use of transluminal endovascular grafting for the treatment of a presumed aortoduodenal fistula. The patient was a 71-year-old man who had undergone resection and graft replacement for an abdominal aortic aneurysm. Three years after operation, melena was caused by perforation of the duodenal wall by a pseudoaneurysm at the proximal graft anastomosis. The pseudoaneurysm...

research advances during recent years offer new insight into therapy and the prevention of gastrointestinal ulcers by using medicinal plants. flavonoids, tannins, triterpenoids, fatty acids and essential oils are among the most effective herbal constituents that have potential antiulcerogenic properties, and most of them could be found in zataria multiflora. z. multiflora is one of the indigeno...