Non-surgical management of perforated peptic ulcer: An alternative method of definitive treatment
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Introduction: Peptic perforation is a common surgical emergency presenting as acute abdomen. Perforation which is potentially the most serious complication for the ulcer patient is fortunately rare. It is probably not seen in more than 2% of the patients suffering from peptic ulceration. The accepted therapeutic options in perforated peptic ulcer are simple closure or immediate definitive operation. Conservative/ non- surgical treatment, originally proposed by Wangensteen, was recommended as the treatment of choice in perforated peptic ulcer by Taylor in 1956. Materials and methods: The present study was a retrospective cum prospective study conducted by reviewing the records of patients admitted with signs and symptoms diagnosis of dry peptic perforation In the retrospective study records of 50 patients with dry perforation In the prospective study 25 patients the study groups who presented as peptic perforation to be sealed and/ or haemodynamically stable patients with peptic perforation and/or with other serious illness when the risk of surgery is prohibitive. Aims and objectives: To access the efficacy and reliability of conservative /non-operative treatment of perforated peptic ulcer and also to observe the complication leading to morbidity and mortality. It also aimed to access and evaluate the criteria used for conservative management of peptic perforation. Results: Non-surgical management was taken as the treatment of choice for all 75 cases. 60 out of total (80%) were cured by non-surgical treatment. Operative intervention was done in 6 cases (8%) and was regarded as failure of conservative treatment, complication developed in 4 patients (5.33%) and mortality was 9.33%.
Authors and Affiliations
Jitendra Kumar Mangtani, Ankita Jain
Keywords
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- EP ID EP238233
- DOI 10.9790/0853-1611025760
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