SUTURE PLICATION OF PERFORATED DUODENAL ULCER
AbstractAbstract: Seventy-five cases of perforated duodenal ulcer were managedby suture plication alone. Perforated acute ulcers have a better ultimateoutlook in terms, of mortality and morbidity as compared with perforatedchronic ulcers. It is suggested that chronic duodenal ulcer cases should havedefinitive surgery at the time of perforation or soon after the recovery,whereas acute ulcers should be primarily managed by suture plicationalone. Where dyspeptic symptoms persist for more than 3 months in acuteulcers after suture plication definitive surgery must be done at the earliestopportunity.
Von-Heberer, H. Wein Klin Waschr 1919; 32: 413.
Pierandozzi, J.S., Hinshaw, D.B. and Roger, F. Vagotomy and Pyloroplasty for acute
perforated doudenal ulcer. West. J. Surg. 1957; 65: 139-145.
Taylor, H. and Warren, R.P. Perforated acute and chronic Peptic ulcer. Conservative
treatment. Lancet, 1956; 1: 397-399.
Friffin, E. and Organ, C.H. The natural history of the perforated duodenal ulcer treated
by suture plication. Ann. Surg. 1976; 183: 382-385.
Kay, P.H. Moore, K.T.H. and Clark, R.G. The treatment of perforated duodenal ulcer.
Brt. J. Surg. 1978; 65: 801-803.
Jordan, G.L. Jr., Debakey, M.E. and Duncan, J.M. Jr. Surgical Management of perforated
peptic ulcer. Ann. Surg. 1974; 179: 628-633.
Gordon-Taylor, G. Problem of bleeding peptic ulcer. Brt. J. Surg. 1937; 25: 403-424.
Atri, S.C. and Naithani, T.P. Int. Surg. 1982; 67: 4, 464-466.
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