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[Treatment of perforated duodenal ulcers].
Tunis Med. 2000 Aug-Sep; 78(8-9):494-8.TM

Abstract

Final surgical treatment of perforated duodenal ulcer is not admitted by all authors. The aim of this study is to evaluate final treatment of perforated duodenal ulcer among 110 patients. 74.5% were aged less than 41 years. 107 patients underwent surgery. Treatment was based on: truncal vagotomy with pyloroplasty (99 cases), truncal vagotomy with closure of duodenal perforation and gastroentero-anastomosis (5 cases), truncal vagotomy with antrectomy (1 case) and simple closure of the duodenal perforation (2 cases). Mortality of truncal vagotomy with pyloroplasty was about 1%. According to the visick evaluation, clinical results were good in 95.3% cases without recurrent ulcer with a mean follow up of 4 years. According to our results truncal vagotomy with pyloroplasty seems to be a safe procedure in the management of perforated duodenal ulcer and more over gives good long-term results in control of peptic disease.

Authors+Show Affiliations

Sakhri J
Service de Chirurgie Générale et Digestive, CHU Farhat Hached, Sousse, Tunisie.
Sabri Y
No affiliation info available
Skandrani K
No affiliation info available
Beltaifa D
No affiliation info available

MeSH

AdolescentAdultAgedDuodenal UlcerFemaleFollow-Up StudiesHumansMaleMiddle AgedPeptic Ulcer PerforationPyloric AntrumPylorusTreatment OutcomeVagotomy, Truncal

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

11190725

Citation

Sakhri, J, et al. "[Treatment of Perforated Duodenal Ulcers]." La Tunisie Medicale, vol. 78, no. 8-9, 2000, pp. 494-8.
Sakhri J, Sabri Y, Skandrani K, et al. [Treatment of perforated duodenal ulcers]. Tunis Med. 2000;78(8-9):494-8.
Sakhri, J., Sabri, Y., Skandrani, K., & Beltaifa, D. (2000). [Treatment of perforated duodenal ulcers]. La Tunisie Medicale, 78(8-9), 494-8.
Sakhri J, et al. [Treatment of Perforated Duodenal Ulcers]. Tunis Med. 2000 Aug-Sep;78(8-9):494-8. PubMed PMID: 11190725.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Treatment of perforated duodenal ulcers]. AU - Sakhri,J, AU - Sabri,Y, AU - Skandrani,K, AU - Beltaifa,D, PY - 2001/2/24/pubmed PY - 2001/2/28/medline PY - 2001/2/24/entrez SP - 494 EP - 8 JF - La Tunisie medicale JO - Tunis Med VL - 78 IS - 8-9 N2 - Final surgical treatment of perforated duodenal ulcer is not admitted by all authors. The aim of this study is to evaluate final treatment of perforated duodenal ulcer among 110 patients. 74.5% were aged less than 41 years. 107 patients underwent surgery. Treatment was based on: truncal vagotomy with pyloroplasty (99 cases), truncal vagotomy with closure of duodenal perforation and gastroentero-anastomosis (5 cases), truncal vagotomy with antrectomy (1 case) and simple closure of the duodenal perforation (2 cases). Mortality of truncal vagotomy with pyloroplasty was about 1%. According to the visick evaluation, clinical results were good in 95.3% cases without recurrent ulcer with a mean follow up of 4 years. According to our results truncal vagotomy with pyloroplasty seems to be a safe procedure in the management of perforated duodenal ulcer and more over gives good long-term results in control of peptic disease. SN - 0041-4131 UR - https://www.unboundmedicine.com/medline/citation/11190725/[Treatment_of_perforated_duodenal_ulcers]_ DB - PRIME DP - Unbound Medicine ER -