The “stamp method”: a new treatment for perforated peptic ulcer?

Bertleff, M. J. O. E.; Liem, Rsb; Bartels, H.; Robinson, P.H.; Werff, J. F. A. van der; Bonjer, H. Jaap; Lange, Johan F.

doi:10.1007/s00464-004-2157-8

Cited by 14 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7,11–13 Previously the “stamp method,” closing a gastric perforation with a biodegradable stamp, was tested in a pilot study in 5 rats, showing that is was a safe procedure. 14 In this pilot study, there was no control group and the follow-up period was only 5 weeks. Therefore, a new rat study has been performed in which we compare closing an iatrogenic perforation in rats' stomachs by Graham omentoplasty with the application of a glued biodegradable (lactide-glycolide-caprolacton) patch to the outside of the stomach.…”

Section: Introductionmentioning

confidence: 95%

Comparison of Closure of Gastric Perforation Ulcers With Biodegradable Lactide-Glycolide-Caprolactone or Omental Patches

Bertleff

Stegmann

Liem

et al. 2009

JSLS

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 95%

Comparison of Closure of Gastric Perforation Ulcers With Biodegradable Lactide-Glycolide-Caprolactone or Omental Patches

Bertleff

Stegmann

Liem

et al. 2009

JSLS

View full text Add to dashboard Cite

show abstract

“…The downside of this technique is that it can only be used to close small perforations. To overcome this problem, a biodegradable patch that can be cut into any desirable size has been tested in rats with good results [44]. Finally, combined laparoscopic-endoscopic repair has been described as well [45].…”

Section: Current Management Perforated Peptic Ulcermentioning

confidence: 99%

Perforated Peptic Ulcer Disease: A Review of History and Treatment

2010

View full text Add to dashboard Cite

Background: In the last one hundred years much has been written on peptic ulcer disease and the treatment options for one of its most common complications: perforation. The reason for reviewing the literature was evaluating most common ideas on how to treat perforated peptic ulcers (PPU) in general, opinions on conservative treatment and surgical treatment and summarizing ideas about necessary pre-, per- and postoperative proceedings. Method: All relevant articles found by Medline, Ovid and PubMed search were used. Results: A hundred articles written between 1929 and 2009 were reviewed. Of these, 9 were about the history of treatment, 7 about conservative treatment, and 26 were about the surgical procedure of which 8 were addressing laparoscopic correction. Overall there is no consensus, but some advice is given. For conservative treatment there are only a few indications. Use of an omental patch is recommended, irrigation and drainage are not. Laparoscopic correction of PPU as well as for definitive ulcer surgery has many advantages. Conclusions: Surgery for PPU is still a subject of debate despite more than an era of published expertise, indicating the need for establishing guidelines.

show abstract

“…In perforation edge inflammation sutures easily tear out and it is more difficult to take large bites and to tie knots properly. Use of a single-stitch method described by Siu et al [13], fibrin glue, or a patch might solve this problem [14, 15]. …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open management of duodenal perforation: a comparative study at a District General Hospital

Motewar¹,

Tilak²,

Patil³

et al. 2013

View full text Add to dashboard Cite

IntroductionDuodenal perforation is one of the common pathologies in patients presenting in emergency with acute abdominal pain in an emergency ward and requires prompt surgery as life saving and curative intervention. The present study was conducted to determine whether the minimal access approach by laparoscopy was equally feasible as the open method.AimTo compare laparoscopic vs. open management duodenal perforation in all aspects.Material and methodsInclusion criteria: patients presenting to the emergency ward with acute pain in the abdomen with clinical signs of peritonitis and air under the diaphragm on X-ray abdomen standing were selected. Exclusion criteria were: patient age < 15 years and > 70 years, presentation > 2 days, shock with systolic blood pressure < 90 mm Hg which did not improve after hydration with 2000 ml of Ringer lactate solution, respiratory distress, history of cardiac disorder or respiratory disorders such as ischemic heart disease, arrhythmias, chronic obstructive pulmonary disease or asthma, bleeding and clotting disorders, pregnancy in females, previous upper abdominal surgery, and intra-operatively patients having perforation other than duodenal perforation. After excluding patients fitting the above criteria, two groups – test and control – were formed.ResultsWe found that complications both early and late were significantly fewer in patients treated by laparoscopy. Thus laparoscopy was both feasible and had comparable mortality and leakage rate.ConclusionsLaparoscopic management of perforated duodenal ulcer is feasible, effective and decreases morbidity and overall treatment time and cost if performed in properly selected patients.

show abstract

The “stamp method”: a new treatment for perforated peptic ulcer?

Abstract: Treatment of a perforated peptic ulcer by placing a patch of biodegradable material like a "stamp" on the outside of the stomach is a feasible option.

Cited by 14 publications

References 9 publications

Comparison of Closure of Gastric Perforation Ulcers With Biodegradable Lactide-Glycolide-Caprolactone or Omental Patches

Comparison of Closure of Gastric Perforation Ulcers With Biodegradable Lactide-Glycolide-Caprolactone or Omental Patches

Perforated Peptic Ulcer Disease: A Review of History and Treatment

Laparoscopic versus open management of duodenal perforation: a comparative study at a District General Hospital

Contact Info

Product

Resources

About