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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

BUTTE B, Jean Michel; DAGNINO U, Bruno; TAPIA V, Alvaro  y  LLANOS L, Jorge. Emergency surgical treatment of perforated peptic ulcer. Rev Chil Cir [online]. 2007, vol.59, n.1, pp.16-21. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262007000100005.

Background: Peptic ulcer perforation is an uncommon by devastating complication that requires emergency surgical treatment. Aim: To review the results of surgical treatment of peptic ulcer perforation in a Chilean Regional Hospital. Material and Methods: Retrospective review of medical records of 22 patients (age range 21-88 years, 21 males) operated for a perforated peptic ulcer, between 1995 and 2000. Results: The most common presentation symptom was acute epigastric pain in 21 patients. The diagnosis was done with a plain abdominal X ray obtained in the standing position, in 11 patients. A simple suture of the ulcer was done in 12 patients, suture plus epiploplasty in seven and gastric resection in three. Seven patients (32%) had postoperative complications and two (9%) died as a consequence of an associated septic process. An endoscopic follow up was done in nine patients and in two, the peptic ulcer remained active. These two patients were subjected to an elective excisional surgery. Conclusions: Local surgical correction of peptic ulcer perforation is the emergency treatment of choice but does not avoid ulcer relapse

Palabras clave : Peptic ulcer; perforation; surgical treatment.

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