Non operative management of perforated peptic ulcer an algorithm approach.

Vijayakumar, Abhishek; Mallikarjuna, M; Patil, Vijayraj; Naika, Ajitha; Shivaswamy, B. S.

doi:10.7439/ijbar.v4i2.924

Cited by 3 publications

(9 citation statements)

References 36 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[20], A. Vijayakumar и соавт. [39], дис-тальный конец зонда должен располагаться в дистальной части желудка, ближе к большой кривизне. При использо-вании назогастральных зондов с рентгеноконтрастными наконечниками оптимальная позиция зонда в желудке мо-жет быть подтверждена рентгенологически [26].…”

Section: результаты и обсуждениеunclassified

“…A. Vijayakumar и соавт. [39] считают оправданным дополнить ан-тибактериальную терапию одним из противогрибковых средств.…”

Section: результаты и обсуждениеunclassified

“…Контроль лабораторных данных заключается в оцен-ке количества лейкоцитов и лейкоформулы, электролитов крови [15,20], а также уровня С-реактивного белка [39] как одного из маркеров прогрессирования перитонита и неэффективности консервативного лечения перфоратив-ной язвы.…”

Section: результаты и обсуждениеunclassified

“…[37], A. Vijayakumar и соавт. [39] также считают необходимым учитывать характер язвы и указывают на низкую эффек-тивность консервативного лечения при стероидных язвах, а также у больных c язвенным анамнезом, получавших ра-нее противоязвенную терапию.…”

Section: результаты и обсуждениеunclassified

“…Сажин [2]. В то же время в отдельных зарубежных клиниках метод Taylor включен в лечебные протоколы и активно используется в течение нескольких десятилетий [12,16,24,29,39]. Цель данной работы -критический анализ доказательной базы, направленный на оценку воз-можностей консервативного лечения перфоративной яз-вы.…”

Section: Introductionunclassified

See 4 more Smart Citations

Opportunities of conservative management of perforated ulcer

Бебуришвили

Panin

Mikhaylov

et al. 2016

Khir. Z. im. N.I. Pirogova

View full text Add to dashboard Cite

Section: результаты и обсуждениеunclassified

Section: Introductionunclassified

See 3 more Smart Citations

Opportunities of conservative management of perforated ulcer

Бебуришвили

Panin

Mikhaylov

et al. 2016

Khir. Z. im. N.I. Pirogova

View full text Add to dashboard Cite

Non-operative Management of Perforated Peptic Ulcer: A Single Center Experience

Karabulut

Dincer

Liman

et al. 2019

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: Perforation is a rare complication of peptic ulcer. Although the most widely accepted treatment for peptic ulcer perforation is surgery, non-operative treatment can be an option in selected patients. In this study, we aimed to present our non-surgical treatment experience in peptic ulcer perforation. METHODS: In this study, the data of the patients who were treated due to peptic ulcer perforation between January 2012 and September 2017 in our clinic were retrospectively reviewed. The diagnosis was reached by physical examination and radiologic findings. After obtaining the informed consent from the patients, non-operative treatment was performed to the selected patients who had normal vital parameters and did not have findings of generalized peritonitis in the abdominal examination. Oral food and fluid intake were stopped and intravenous fluid, antibiotics and pantoprazole were administered to all patients in this study. RESULTS: A total of 41 patients were treated due to the diagnosis of peptic ulcer perforation in our clinic during the study period. Out of 41 patients, while 35 of the patients were operated, six of them were treated non-operatively. There were peritoneal irritation signs and symptoms in the upper quadrants on physical examination in all of the patients. None of them had generalized peritonitis. Abdominal X-ray and computed tomography were obtained from all of the patients. None of the patients in the non-operative group underwent any interventional procedure or surgery during the follow-up period. The median length of hospital stay was four days in this group. All of the patients were discharged uneventfully. CONCLUSION: Standard treatment of peptic ulcer perforation in most of the patients is still surgical repair. Non-surgical treatment should be kept in mind as an option in the selected patients who had normal vital parameters and did not have any findings of generalized peritonitis in the abdominal examination. In this way, it may be possible to avoid unnecessary surgery and reduce the possible morbidity and mortality associated with the operation.

show abstract