Surgical outcome of management of perforated peptic ulcer : Al-Gumhori general hospital, Sana-Yemen, from January 2017 to January 2020
Other Title(s)
النتيجة الجراحية لتدبير القرحة الهضمية المثقوبة : مستشفى الجمهوري العام، صنعاء-اليمن، من يناير 2017 إلى يناير 2020
Joint Authors
Abd al-Wali, Abd Allah Muhammad
Thabit, Yasir Abd Rabbih
al-Umari, Ali Lutf
al-Badani, Muhammad Numan
Source
Journal of Medical and Pharmaceutical Sciences
Issue
Vol. 5, Issue 2 (30 Jun. 2021), pp.13-34, 22 p.
Publisher
Publication Date
2021-06-30
Country of Publication
Palestine (Gaza Strip)
No. of Pages
22
Main Subjects
Abstract EN
Background: Perforated peptic ulcer (PPU) is a common life-threatening surgical emergency.
Discovery of H.
pylori (1985) changed the concept of the management of peptic ulcer.
Now-a-days reduction in gastric acid production with proton pump inhibitors along with eradication of H.
pylori is recommended.
Objective: to analysis the surgical outcome for management of perforated peptic ulcer in Al-gomhuri Hospital during 2017- 2020.
Methods: Clinically suspected cases of PPU were confirmed by radiological and laboratory investigation.
These patients were subjected to exploratory laparotomy with Graham’s omental patch repair after adequate fluid resuscitation with optimal hemodynamic status with peritoneal drainage Postoperatively these patients kept in SICU and closely monitored.
Data were collected, tabulated and analyzed.
Results: 62 cases enrolled; Male patients were predominant than female in a ratio of 60:2.
Age ranges from 20 to >60 years.
Majority of the patients belongs to the age group 30-40 years of age.
The morbidity and mortality rates were (20%) and (3.2%) respectively.
Conclusions: Adequate fluid resuscitation with optimal hemodynamic status and optimal kidney function is the key to decrease morbidity and mortality rates.
Simple closure with omental patch followed by H.
pylori eradication is effective with excellent outcome in most of survivor despite of late presentation.
Definitive surgery for ulcer recurrence is no more done except in special situation.
American Psychological Association (APA)
Abd al-Wali, Abd Allah Muhammad& Thabit, Yasir Abd Rabbih& al-Badani, Muhammad Numan& al-Umari, Ali Lutf. 2021. Surgical outcome of management of perforated peptic ulcer : Al-Gumhori general hospital, Sana-Yemen, from January 2017 to January 2020. Journal of Medical and Pharmaceutical Sciences،Vol. 5, no. 2, pp.13-34.
https://search.emarefa.net/detail/BIM-1285116
Modern Language Association (MLA)
Abd al-Wali, Abd Allah Muhammad…[et al.]. Surgical outcome of management of perforated peptic ulcer : Al-Gumhori general hospital, Sana-Yemen, from January 2017 to January 2020. Journal of Medical and Pharmaceutical Sciences Vol. 5, no. 2 (Jun. 2021), pp.13-34.
https://search.emarefa.net/detail/BIM-1285116
American Medical Association (AMA)
Abd al-Wali, Abd Allah Muhammad& Thabit, Yasir Abd Rabbih& al-Badani, Muhammad Numan& al-Umari, Ali Lutf. Surgical outcome of management of perforated peptic ulcer : Al-Gumhori general hospital, Sana-Yemen, from January 2017 to January 2020. Journal of Medical and Pharmaceutical Sciences. 2021. Vol. 5, no. 2, pp.13-34.
https://search.emarefa.net/detail/BIM-1285116
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 30-34
Record ID
BIM-1285116