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Perforated Peptic Ulcer

  • Jameson L. Chassin
Chapter
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Abstract

Not all free perforations of gastric ulcers are susceptible to simple plication techniques. Often the ulcer is quite large and surrounded by edema. When the perforation occurs on the posterior surface of the antrum, adequate repair by plication techniques is generally not possible. Also, gastric ulcers have a high rate of recurrence. For these reasons, in a good-risk patient, in whom the diagnosis of perforation has been made reasonably early, gastric resection is preferred to simple plication. If for technical reasons, a sound plication cannot be constructed, then gastric resection is mandatory, regardless of the risk, as a recurrent gastric leak into the peritoneal cavity is almost always fatal.

Keywords

Duodenal Ulcer Gastric Ulcer Gastric Resection Perforated Peptic Ulcer Duodenal Obstruction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Reference

  1. Jordan GL Jr et al. (1966) Acute gastro- duodenal perforation: comparative study of treatment with simple closure, subtotal gas-trectomy and hemigastrectomy and vagotomy. Arch Surg 92: 449PubMedGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.School of MedicineNew York UniversityUSA
  2. 2.University Hospital, New York University Medical CenterUSA
  3. 3.New York Veterans Administration HospitalUSA
  4. 4.Bellevue HospitalUSA
  5. 5.Long Island Jewish-Hillside Medical CenterUSA

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