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[Type of surgery and mortality rate in perforated duodenal ulcer].
Pol Merkur Lekarski. 2001 Aug; 11(62):148-50.PM

Abstract

The aim of this study was to evaluate postoperative mortality in patients with perforated duodenal ulcer and concomitant peritonitis. In our department from 1962 to 1999 there were 625 patients operated on for that reason. The most common surgery performed was the "definitive" one, i.e. truncal vagotomy with pyloroplasty. Partial gastric resection was performed infrequent, and gastrectomy was done only exceptionally. Only in elderly with comorbid conditions (concomitant diseases or highly advanced purulent peritonitis) or in very young patients without prior history of ulcer disease, the perforation was sewed or closed by pyloroplasty (118 patients, 18.9%). Overall postoperative morbidity was 11.2% (70 patients died shortly after the surgery). Morbidity among patients in vagotomy and pyloroplasty group was 2.9%, in resection group--3.3% and among these with the perforation just sewed--45.8%. Two patients younger than 50 years died in postoperative course (0.57%). In patients between 50 and 69 years 29 deaths were observed (15.18%). There were 84 patients older than 70 years, and after the surgery 39 of them died (46.43%). It is important to notice, that even that in the oldest patients in 63 cases the perforation was just sewed (the less invasive procedure), 34 of them died. Vagotomy combined with pyloroplasty is valuable and safe procedure which is widely used in perforated duodenal ulcer. Postoperative morbidity is the highest among older patients, regardless of the procedure applied.

Authors+Show Affiliations

Wysocki A
Klinika Chirurgii Ogólnej, II Katedra Chirurgii Ogólnej Uniwersytetu Jagiellońskiego, Collegium Medicum w Krakowie.
Beben P
No affiliation info available

MeSH

AdultAgedDigestive System Surgical ProceduresDuodenal UlcerFemaleHumansMaleMiddle AgedPeptic Ulcer PerforationPyloric AntrumSurvival AnalysisVagotomy

Pub Type(s)

English Abstract
Journal Article

Language

pol

PubMed ID

11757215

Citation

Wysocki, A, and P Beben. "[Type of Surgery and Mortality Rate in Perforated Duodenal Ulcer]." Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, vol. 11, no. 62, 2001, pp. 148-50.
Wysocki A, Beben P. [Type of surgery and mortality rate in perforated duodenal ulcer]. Pol Merkur Lekarski. 2001;11(62):148-50.
Wysocki, A., & Beben, P. (2001). [Type of surgery and mortality rate in perforated duodenal ulcer]. Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego, 11(62), 148-50.
Wysocki A, Beben P. [Type of Surgery and Mortality Rate in Perforated Duodenal Ulcer]. Pol Merkur Lekarski. 2001;11(62):148-50. PubMed PMID: 11757215.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Type of surgery and mortality rate in perforated duodenal ulcer]. AU - Wysocki,A, AU - Beben,P, PY - 2002/1/5/pubmed PY - 2002/2/16/medline PY - 2002/1/5/entrez SP - 148 EP - 50 JF - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego JO - Pol Merkur Lekarski VL - 11 IS - 62 N2 - The aim of this study was to evaluate postoperative mortality in patients with perforated duodenal ulcer and concomitant peritonitis. In our department from 1962 to 1999 there were 625 patients operated on for that reason. The most common surgery performed was the "definitive" one, i.e. truncal vagotomy with pyloroplasty. Partial gastric resection was performed infrequent, and gastrectomy was done only exceptionally. Only in elderly with comorbid conditions (concomitant diseases or highly advanced purulent peritonitis) or in very young patients without prior history of ulcer disease, the perforation was sewed or closed by pyloroplasty (118 patients, 18.9%). Overall postoperative morbidity was 11.2% (70 patients died shortly after the surgery). Morbidity among patients in vagotomy and pyloroplasty group was 2.9%, in resection group--3.3% and among these with the perforation just sewed--45.8%. Two patients younger than 50 years died in postoperative course (0.57%). In patients between 50 and 69 years 29 deaths were observed (15.18%). There were 84 patients older than 70 years, and after the surgery 39 of them died (46.43%). It is important to notice, that even that in the oldest patients in 63 cases the perforation was just sewed (the less invasive procedure), 34 of them died. Vagotomy combined with pyloroplasty is valuable and safe procedure which is widely used in perforated duodenal ulcer. Postoperative morbidity is the highest among older patients, regardless of the procedure applied. SN - 1426-9686 UR - https://www.unboundmedicine.com/medline/citation/11757215/[Type_of_surgery_and_mortality_rate_in_perforated_duodenal_ulcer]_ DB - PRIME DP - Unbound Medicine ER -