VOLUME 16 , ISSUE 3 ( September-December, 2023 ) > List of Articles
Sayed Mohammed Asfaque Aamir, Sujit Kumar Mohanty
Keywords : Duodenal perforation, Endoscopy, Gastroduodenal perforation, Stenting, Upper gastrointestinal endoscopy
Citation Information : Aamir SM, Mohanty SK. Endoscopic Management of a Perforated Duodenal Ulcer: A Cohort Study. World J Lap Surg 2023; 16 (3):163-165.
DOI: 10.5005/jp-journals-10033-1599
License: CC BY-NC 4.0
Published Online: 12-01-2024
Copyright Statement: Copyright © 2023; The Author(s).
Introduction: Complicated peptic ulcer is one of the most common abdominal emergencies presenting in our institution settings bringing patients from Eastern Odisha. The high patient load forces us to seek out another standardized method apart from the surgical intervention in our study. Materials and methods: A cohort study was conducted in a Tertiary Care Hospital with 120 patients after confirmation of a pyloro-duodenal location of the perforated ulcer and allocated to the surgical vs stent group. Results: Percutaneous drainage was required in fifteen patients due to intra-abdominal abscess (C-D 3). Postoperative leak was observed in six patients and showed leak at leakage test and received a new stent without further complication (C-D 3). Five patients needed postoperative intensive care in the ITU, requiring temporary circulatory and renal support. Unfortunately, three patients in poor condition upon admission did not survive (C-D 5). Conclusion: Stents had an affirmative role for management in complicated patients of peptic perforation.
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