Closure of Duodenal Perforation by Gastric Seromuscular Advancement Flap

Abstract

BACKGROUNDPerforation remains a surgical disease and management means emergency surgical intervention. Primary closure with omental buttress, Graham's live/dead omental patch repair, Jejunal serosal (Thal) patch repair and antrectomy with Billroth II reconstruction have been the traditionally followed procedures depending on the site/size of the perforation. This study reports a series of cases of perforated duodenal ulcer closed by Gastric seromuscular advancement flap. This article compares the advantages and disadvantages of either methods and details the indications and method of this alternative repair.

A Retrospective Comparative Study of Outcomes in Patients of Perforated Peptic Ulcer Applied With Cellan-Jones Repair Versus Graham's Patch

“…This shows that the patch applied in both the methods is having a similar outcome. A similar study was undertaken by periasamy Subia et al (19) using both omental closure and gastric seromuscular flap for duodenal ulcer perforation which has shown similar survival outcomes. V Srinivas Goud et al (20) in his study conducted on the closure of duodenal perforations with omental plugging versus Graham's patch concluded that omental plugging is better compared to Graham's patch for the closure of duodenal ulcer, but in our study, the results were almost same.…”