World Journal of Laparoscopic Surgery

Register      Login

VOLUME 16 , ISSUE 3 ( September-December, 2023 ) > List of Articles

Original Article

Endoscopic Management of a Perforated Duodenal Ulcer: A Cohort Study

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.

  1. Baron JH. Paintress, princess and physician's paramour: Poison or perforation? J R Soc Med 1998;91(4):213–216. DOI: 10.1177/014107689809100413.
  2. Baron JH, Sonnenberg A. Hospital admissions for peptic ulcer and indigestion in London and New York in the 19th and early 20th centuries. Gut 2002;50(4):568–570. DOI: 10.1136/gut.50.4.568.
  3. Hermansson M, Ekedahl A, Ranstam J, et al. Decreasing incidence of peptic ulcer complications after the introduction of the proton pump inhibitors, a study of the Swedish population from 1974–2002. BMC Gastroenterol 2009;9:25. DOI: 10.1186/1471-230X-9-25.
  4. Moller MH, Shah K, Bendix J, et al. Risk factors in patients surgically treated for peptic ulcer perforation. Scand J Gastroenterol 2009;44(2):145–152. DOI: 10.1080/00365520802401261.
  5. Bertleff MJ, Lange JF. Perforated peptic ulcer disease: A review of history and treatment. Dig Surg 2010;27(3):161–169. DOI: 10.1159/000264653.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.