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Performation of peptic ulcer following paracentesis in patients with cirrhosis

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Conclusions

1. The incidence of peptic ulcer in patients with cirrhosis is higher than in the general hospital population. The incidence increases in relation to the severity of cirrhosis.

2. Perforation of an ulcer is always a danger and appears to be more serious than the more frequently reported complication of hemorrhage.

3. Danger of perforation appears to be greater following paracentesis.

4. Successful management of this emergency is based on the diagnostic consideration of perforation in a patient who develops shock or abdominal pain shortly following paracentesis. Ascites and bleeding were frequently associated with the perforation. Diagnostic aids include performance of a diagnostic tap and roentgen examination of the abdomen for free air.

5. If the diagnosis can be made, surgical intervention is indicated since the mortality rate is certain to be less following surgical treatment than expectant medical care.

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Authors and Affiliations

  1. From the Medical Service, Veterans Administration Research Hospital, USA

    Samuel S. Koide M.D., E. Clinton Texter Jr. M.D. & Craig W. Borden M.D.

  2. the Gastroenterology Laboratory, Department of Medicine, Northwestern University Medical School, Chicago, Ill.

    Samuel S. Koide M.D., E. Clinton Texter Jr. M.D. & Craig W. Borden M.D.

Authors
  1. Samuel S. Koide M.D.
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  2. E. Clinton Texter Jr. M.D.
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  3. Craig W. Borden M.D.
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Additional information

This investigation was supported in part by a Research Grant (RG 4633) National Institutes of Health, Public Health Service.

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Koide, S.S., Texter, E.C. & Borden, C.W. Performation of peptic ulcer following paracentesis in patients with cirrhosis. Digest Dis Sci 3, 24–37 (1958). https://doi.org/10.1007/BF02231306

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