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

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.