Perforated gastric ulcers. A plea for management by simple closures

W. W. Turner, W. M. Thompson, E. R. Thal

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

One hundred seven patients with perforated gastric ulcers were treated by either simple closures (omental patches, 81 patients; primary suture without patches, 13 patients; or ulcer excisions with closures, two patients) or primary gastric resections (11 patients). The latter were performed when ulcers were too large to be treated by simple closures. The mortality rate after omental patches or ulcer excisions with closures was 12%, while that following primary gastric resections was 45%. Patients who underwent closures with suturing only had a mortality rate of 62%, which was significantly higher than the mortality rate following patch closures. Gastric outlet obstructions developed following 15% of simple closures of prepyloric ulcers. Closures of perforated gastric ulcers with omental patches or ulcer excisions can be undertaken with low mortality and morbidity rates. Primary gastric resections are reserved for patients with ulcers that are large or located in the prepyloric area.

Original languageEnglish (US)
Pages (from-to)960-964
Number of pages5
JournalArchives of Surgery
Volume123
Issue number8
StatePublished - 1988

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Stomach Ulcer
Ulcer
Stomach
Mortality
Gastric Outlet Obstruction
Sutures
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Perforated gastric ulcers. A plea for management by simple closures. / Turner, W. W.; Thompson, W. M.; Thal, E. R.

In: Archives of Surgery, Vol. 123, No. 8, 1988, p. 960-964.

Research output: Contribution to journalArticle

Turner, WW, Thompson, WM & Thal, ER 1988, 'Perforated gastric ulcers. A plea for management by simple closures', Archives of Surgery, vol. 123, no. 8, pp. 960-964.
Turner, W. W. ; Thompson, W. M. ; Thal, E. R. / Perforated gastric ulcers. A plea for management by simple closures. In: Archives of Surgery. 1988 ; Vol. 123, No. 8. pp. 960-964.
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