The Treatment of Acute Perforated Peptic Ulcer by Primary Partial Gastrectomy

The late prognosis of perforated duodenal ulcer

“…)erforated for a second time Lowdon (1952) studied the histology of perforated i.e., 8.5%. Even this is a high ulcers treated by partial gastrectomy and found represent a regional peculiarity.…”

“…Three methods of immediate treatment of perforated duodenal ulcer are currently employed, namely, simple suture of the perforation, immediate partial gastrectomy (Yudine, 1939;Lowdon, 1952), and conservative treatment (Taylor, 1957). The departure from the traditional method-simple suture of the perforated ulcer-has arisen from doubts about the immediate and late prognosis after this treatment.…”

The Late Prognosis of Perforated Duodenal Ulcer

“…The records of all patients admitted to Aberdeen general hospitals with perforated peptic ulcer were obtained for the years 1950and 1952. Records for 1951 were incomplete, so patients treated during this year were excluded from the follow-up.…”

The prognosis of the perforated acute duodenal ulcer.

“…On the other hand, it is established that both acute and chronic ulcers perforate, although it may appear to be of academic interest only to differentiate between them. However, Lowdon (1952) has shown that the duration of dyspepsia correlates with the histological findings, for in patients with a history of less than one month, 80% of the ulcers showed no signs of chronicity. Most authorities who have classified their patients in this way have concluded that patients with an acute ulcer fare better than those whose lesion is chronic (Illingworth, Scott, and Jamieson, 1946;Gilmour, 1953;Taylor and Warren, 1956).…”