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ISSN 1727-897X (Electronic)

2013, Number 3

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Medisur 2013; 11 (3)

Results of Surgical Treatment of Perforated Peptic Ulcer

Rodriguez AY, Delgado FR, Jiménez PR, González BJI, Collazo PD, Collazo PD

Language: Spanish
References: 19
Page: 265-272
PDF size: 175.86 Kb.


ABSTRACT

Background: At present, treatment of perforated peptic ulcer has undergone major changes. A vagotomy or resective surgery is no longer the first treatment of choice, since proton-pump inhibitors and Helicobacter pylori eradication can produce the same effect. Recurrence is rare, although when definitive surgery is not performed, symptoms may return and new perforations may occur.
Objective: To describe the results of surgical treatment of perforated peptic ulcer.
Methods: The research was conducted at the Department of General Surgery of the University Hospital Dr. Gustavo Aldereguía Lima in Cienfuegos, from January 2008 to May 2009. It consists of a case series study including 55 patients diagnosed with perforated peptic ulcer who underwent surgery.
Results: 31.2% of the patients with peptic ulcer had previously undergone anti Helicobacter pylori therapy; perforation was the debut of the disease in 45.5% of cases. Despite presenting gastrointestinal illness as medical history, 41.7% of these patients were taking some type of ulcerogenic drugs. The most frequently used surgical techniques were nondefinitive, prevailing suture and non-pedunculated omentoplasty (78.2%). Persistent ulcer was found in 20.0% of patients who could be followed up.
Conclusion: After three months of evolution, some of the patients operated on with a nondefinitive surgical technique and anti-Helicobacter pylori therapy did not overcome their health problem.


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