Journals / Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi / 2008 / Cilt: 48 - Sayı: 4

Size determines morbidity, older age and asa score determines mortality in peptic ulcus perforation

Peptik ülser perforasyonunda morbiditeyi çap, mortaliteyi ileri yaş ve yüksek asa skoru belirler

Pages
222–228
Publication Date
2022-10-17
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 was a significant difference about mortality at group II and group III when compared with group I (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Peptic ulcer perforation is a surgical problem that occurs serious complications. 68 patients operated because of peptic ulcer perforation between December 2003 - April 2008 analized retrospectively.
📊
Key Findings & Data:By the type of the perforation that examined intraoperatively divided in to three groups; Group I(3cm) giant.
💡
Conclusion & Impact:There was a significant difference about mortality at group II and group III when compared with group I (p
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

Peptic ulcer perforation is a surgical problem that occurs serious complications. 68 patients operated because of peptic ulcer perforation between December 2003 - April 2008 analized retrospectively. By the type of the perforation that examined intraoperatively divided in to three groups; Group I(3cm) giant. There were 51 (75%) patients in group I, 15 (22,05%) patients in group II, 2 (2,94%) patients in group III. Graham omentoplasty patching performed purely to all patients in group I and 14 patients(93,33%) in group II. Omental packing fulfilled to 2 patients in group III. The most common postoperative morbidity was respiratuar complications with a rate of 14,7%. There was a significant difference about mortality at group II and group III when compared with group I (p

Özet

Peptik ülser perforasyonu ciddi komplikasyonlara yol açan cerrahi bir problemdir. Aralık 2003- Nisan 2008 tarihleri arasında peptik ülser perforasyonu nedeniyle acil serviste laparotomi yapılan 68 hasta retrospektif olarak incelendi. intraoperatif saptanan perforasyon çapına göre Grup I ( 3 cm) dev olarak 3’e ayrıldı. Grup I‘de 51(%75), Grup II’de 15 (%22.05), Grup III’de 2 (% 2.94) hasta vardı. Grup I hastaların tümüne, Grup II 14 (% 93.33)’üne sadece Graham omentoplasti yama yapıldı. Grup III’te yer alan 2 hastaya omental tıkaç yapıldı. En sık postoperatif morbidite %14.7 respiratuvar komplikasyonlardı. Morbidite açı- sından Grup II ve III’de Grup I’e göre anlamlı fark saptandı (p

🔖

Cite This Article

DULUNDU, E., YILDIZ, M. K., TOPALOĞLU, Ü., ÖZEL, Y., YARDIMCI, S., ÖZKAN, E. (2022). Size determines morbidity, older age and asa score determines mortality in peptic ulcus perforation. Haydarpaşa Numune Eğitim ve Araştırma Hastanesi Tıp Dergisi, Cilt: 48 - Sayı: 4, 222–228. https://ajindex.com/articles/535535

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Noguiera C, Silva AS, Santos JN,et al. Perforated peptic ulcer: main factors of morbidity and mortality. World J Surg.2003 Jul;27(7):782-7
  2. Müslümano¤lu M, Özmen V, Yol S, Ekiz F. Peptik ülser cerrahisinde laparoskopik yaklafl›m. T Klin T›p Bilimleri 1994,14; 111-114
  3. Kocer B, Surmeli S,Solak C, et al. Factors affecting mortality and mor - bidity in patients with peptic ulcer perforation. J Gastroenterol Hepa - tol.2007 Apr;22(4):565-70
  4. Hermansson M,von Holstein CS, Zilling T: Surgical approach and prognostic factors after peptic ulcer perforation. Eur J Surg 1999,165: 566- 72
  5. Rajesh V, Sarathcandra S,Smile SR: Risk factors predicting operative mortality in perforated peptic ulcer disease.Tropical Gastroenterol 2003,24: 148- 50
  6. Testini M, Portincasa P, Piccinni G, et al. Significant factors associa - ted with fatal outcome in emergency open surgery for perforated peptic ulcer.World J Gastroenterol.2003 Oct;9(10).2338-40
  7. Gupta S, Kaushik R, Sharma R, Attri A. The management of large per - forations of duodenal ulcers.BMC Surg.2005 Jun25;5.15
  8. Karanjia ND,Shanahan DJ,Knight MJ: Omental patching of a large per - forated duodenal ulcer:a new method.Br J Surg 1993,80.65
  9. Jani K,Saxena AK,Vaghasia R. Omental plugging for large-sized dup - denal peptic perforations: A Prospective randomized study of 100 pati - ents. South Med J.2006 May;99(5):467-71
  10. Sharma D, Saxena A, Rahman H,et al. Free omental plug: a nostal - gic look at an old dependable technique for gigant peptic perforati - ons.Dig Surg.2000 17(3):216-8
  11. Broderick TJ, Matthews JB. Vagotomy and Drainage.In: Yeo CJ, Dempsey DT, Kle›n AS,Pemberton JH,Peters JH. Shackelford’s Surgery of the Alimentary Tract. Sixth ed›t›on. Philadelphia; Saunders; 2007.p.811-26
  12. Dempsey DT.Stomach.In: Brunicardi FC,editors.Schwartz’s princip - les of surgery.8th ed.New York:McGraw-Hill, 2005;933-96
  13. Svanes C: Trends in perforated peptic ulcer Incidence, etiology,tre - atment,and prognosis.World J Surg 2000; 24: 277- 83
  14. Uccheddu A, Floris G, Altana ML, et al.Surgery for perforated peptic ulcer in the elderly.Evaluation of factors influencing prognosis. Hepato - gastroenterology.2003 Nov –Dec,50(54):1956-8
  15. Forsmo HM, Glomsaker T, Vandvik PO. Perforated peptic ulcer-a 12- year material.Tidsskr Nor Laegeforen.2005 Jun 30;125(13):1822-4
  16. Michelet I,Agresta F. Perforated peptic ulcer: laparoscopic appro - ach.Eur J Surg May 2000;166(5):405-8
  17. Barut I, Tarha