Marginal ulcer perforation: a single center experience

Natarajan, Suresh; Chua, Dennis; Anbalakan, Kamalesh; Shelat, Vishal G

doi:10.1007/s00068-016-0723-0

Cited by 9 publications

(3 citation statements)

References 21 publications

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Section: Discussionmentioning

confidence: 99%

“…Quantifying the cross-country inequalities in the burden of PUD across the SDI increases understanding of its determinants and identifies countries that must strengthen PUD prevention and control. 14,15 In this study, we comprehensively analyzed the disease burden (incidence, DALYs, mortality) of PUD at the global, regional, and national levels with their corresponding current trends and survival patterns from 1990 to 2019. In general, the incidence cases of PUD have been increasing since 1990, reaching 3.6 million in 2019; however, the ASIR showed a continuous downward trend, with an average annual decrease of 1.42%; we conjectured this attributable to the population growth and worldwide aging, popularity of upper endoscopy, improvement of medical sanitary, PUD has declined significantly from 1990 to 2019 in the point of ASIR, ASDR, and ASMR, decreasing by a mean of 1.42%, 3.47%, and 3.36%, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Peptic ulcer disease burden, trends, and inequalities in 204 countries and territories, 1990–2019: a population-based study

Zhang,

Yan,

Zhang

et al. 2023

Therap Adv Gastroenterol

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Background: Peptic ulcer disease has been a major threat to the world’s population, which remains a significant cause of hospitalization worldwide and healthcare resource utilization. Objectives: We aimed to describe the global burden, trends, and inequalities of peptic ulcer disease. Design: An observational study was conducted. Methods: In this secondary analysis of the Global Burden of Disease, Injuries, and Risk Factors Study 2019, we extracted data for age-standardized incidence rates (ASIRs), disability-adjusted life year rates (ASDRs), and mortality rates (ASMRs); then, we stratified by age, level of regionals, and country; subsequently, we calculated estimated annual percentage changes (EAPC) of ASIR, ASDR, ASMR, and quantified cross-country inequalities in peptic ulcer disease mortality. Results: Globally, ASIR showed a continuous downward trend, from 63.84 in 1990 to 44.26 per 100,000 population in 2019, with an annual decrease of 1.42% [EAPC = −1.42 (95% CI: −1.55 to −1.29)]. ASDR showed a continuing downward trend, and the EAPC was −3.47% (−3.58 to −3.37). ASMR showed a persistent decline, declining by nearly half in 2019 compared to 1990 (3.0 versus 7.39 per 100,000 population), with an annual decrease of 2.55% [EAPC = −3.36 (95% CI: −3.47 to −3.25)]. A significant reduction in sociodemographic index (SDI)-related inequality, from an excess of 190.43 disability-adjusted life years (DALY) per 100,000 (95% CI: −190.83 to −190.02) between the poorest and richest countries in 1990 to 62.85 DALY per 100,000 (95% CI −62.81 to −62.35) in 2019. Conclusion: Global peptic ulcer disease morbidity and mortality rates decreased significantly from 1990 to 2019. These health gains were in accordance with a substantial reduction in the magnitude of SDI-related inequalities across countries, which is paired with overall socioeconomic and health improvements observed in the region.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Peptic ulcer disease burden, trends, and inequalities in 204 countries and territories, 1990–2019: a population-based study

Zhang,

Yan,

Zhang

et al. 2023

Therap Adv Gastroenterol

View full text Add to dashboard Cite

show abstract

“…Marginal ulcer, an ulcer at the margins of the gastro-jejunal anastomosis, perforation which has traditionally been dealt with by converting Billroth II gastro-jejunostomy reconstruction into Roux-en-Y has seen some changes lately. Recent studies have shown that this revision is not mandatory anymore and that omental patch repair has increasingly been shown to be sufficient (14).Furthermore, numerous studies done in the past 4 decades have shown that, general surgeons are not the only ones who utilize the omental patch. The omental pedicle flap has also been widely used by neurosurgeons, thoracic surgeons and in the plastic and reconstructive arena (15)(16)(17)(18).…”

Section: Omentoplasty In Perforated Peptic Ulcer Surgery: Is It Stillmentioning

confidence: 99%