SavedAdd your journal

Journals / Medeniyet Medical Journal / 2018 / Cilt: 33 - Sayı: 4

The importance of follow-up gastroscopy in patients with perforated peptic ulcer

Okan Murat AKTÜRK
Mikail ÇAKIR
Yıldırım B. DOĞAN
Pages
285–290
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There is also a potential malignancy presence in the perforations which are thought to be duodenal.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Peptic ulcer disease arises from the imbalance between the mucosal defense factors and the destructive properties of acid pepsin.
📊
Key Findings & Data:The prevalance is around 5-10% of the population but only 2-10% of the patients with the disease are complicated with perforation.
💡
Conclusion & Impact:There is also a potential malignancy presence in the perforations which are thought to be duodenal.
🔬Design:Review & Systematic Survey
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Aim: Peptic ulcer disease arises from the imbalance between the mucosal defense factors and the destructive properties of acid pepsin. The prevalance is around 5-10% of the population but only 2-10% of the patients with the disease are complicated with perforation. What is adviced is a follow up gastroscopy 6-8 weeks after the operation. We aimed to investigate gastric malignancy and helicobacter pylori prevalence in the follow-up gastroscopy. Method: The follow-up gastroscopy notes of the patients who went under operation for perforated peptic ulcer were reviewed. The demographic properties, the operation notes, the follow-up gastroscopy notes and pathology reports were reviewed for the presence of helicobacter pylori and gastric malignancy. Results: Between June 2014 and June 2017 a total of 132 pa-tients were operated for peptic ulcer perforation. The average age of the patients was 43.46±18.78 (15-93). In the study group 73.5%(36/49) were found to be positive for Helicobater pylori. The gastric cancer diagnosis was confirmed in 5.6% (3/53) pati-ents in the follow-up gastroscopy. Conclusion: Helicobater pylori is an important factor in ethiology as well but one must be alert about the potential presence of a gastric cancer. There is also a potential malignancy presence in the perforations which are thought to be duodenal.

🔖

Cite This Article

AKTÜRK, O. M., ÇAKIR, M., DOĞAN, Y. B. (2018). The importance of follow-up gastroscopy in patients with perforated peptic ulcer. Medeniyet Medical Journal, Cilt: 33 - Sayı: 4, 285–290. https://ajindex.com/articles/283299

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Goh KL, Chan WK, Shiota S, & Yamaoka Y. Epidemiology of Helicobacter pylori infection and public health implications. Helicobacter. 2011;16:1-9.
  2. Wang AY, & Peura DA. The prevalence and incidence of He-licobacter pylori-associated peptic ulcer disease and upper gastrointestinal bleeding throughout the world. Gastrointes-tinal Endoscopy Clinics. 2011;21(4):613-635.
  3. Sonnenberg A, & Everhart JE. The prevalence of self-reported peptic ulcer in the United States. American Journal of Public Health. 1996;86(2):200-205.
  4. Kurata JH, & Nogawa AN. Meta-analysis of risk factors for peptic ulcer: nonsteroidal antiinflammatory drugs, Helico-bacter pylori, and smoking. Journal of clinical gastroentero-logy. 1997;24(1):2-17.
  5. Wang YR, Richter JE, & Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006. Annals of Surgery. 2010;251(1):51-58.
  6. Behrman SW. Management of complicated peptic ulcer dise-ase. Archives of Surgery. 2005;140(2):201-208.
  7. Ramakrishnan K, & Salinas RC. Peptic ulcer disease. Ameri-can family physician. 2007;76(7):1005-1012
  8. Nuhu A, Madziga AG, & Gali BM. Acute perforated duodenal ulcer in Maiduguri: experience with simple closure and Heli-cobacter pylori eradication. West African Journal of Medici-ne. 2009;28(6):384-387.
  9. Roviello F, Rossi S, Marrelli D, De Manzoni G, Pedrazzani C, Morgagni P,. & Pinto E. Perforated gastric carcinoma: a re-port of 10 cases and review of the literature. World Journal of Surgical Oncology. 2006;4(1):19.
  10. Kasakura Y, Ajani JA, Fujii M, Mochizuki F, & Takayama T. Ma-nagement of perforated gastric carcinoma: a report of 16 cases and review of world literature. The American Surgeon. 2002;68(5):434
  11. Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I,. & Dicker D. Global burden of disease study 2013 collabo-rators. Global, regional, and national incidence, prevalence, and years lived with disability for, 301, 1990-2013
  12. Consesus Conference NIH. Helicobacter pylori in peptic ulcer disease: NIH consensus development panel. JAMA. 1994;272:65-69.https://doi.org/10.1001/jama.1994.0352001