Outcomes of omental patch repair in large or giant perforated peptic ulcer are comparable to gastrectomy

AbstractPurposePerforated peptic ulcer (PPU) complicates 2 to 10% of patients with peptic ulcer disease and has mortality risk of up to 20%. Omental patch repair is the mainstay of surgical management and gastric resectional procedures are advocated for a large/giant ulcer or suspected malignancy. Emergency gastrectomy is associated with increased morbidity and mortality. The aim of this study is to compare the outcomes of omental patch repair with gastrectomy in patients with large PPU ( ≥ 20 mm).MethodsA retrospective review of all PPU patients who underwent surgery from January 2008 to December 2014 was done. Patients with PPU  
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research

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ConclusionWrap necrosis is a life-threatening complication after N-SG. This case is shared to raise awareness of this complication. This was successfully managed by prompt laparoscopy and wrap resection. Ideally such complications should be referred to experts or centers with high volume of bariatric surgery.
Source: Obesity Surgery - Category: Surgery Source Type: research
L Chen, X Zhu, L Wei, Z LiuNigerian Journal of Clinical Practice 2020 23(4):586-588 A peptic ulcer is a rare cause of distal common bile duct stricture, Obstructive jaundice as a complication of ulcerative duodenal stenosis is quite difficult to differentiate from malignant disease, especially in those in which esophagogastroduodenoscopy examination does not reveal an ulcer. In this case report, a 61-year-old male suffered from right upper quadrant pain, chills and fever caused by duodenal and distal common bile duct stenosis originating from ulcer and was treated surgically.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Publication date: Available online 5 March 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Auguste Dargent, Marine Jacquier, Sacha Rozencwajg, Pascal Andreu, Jean-Pierre Quenot
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
Abstract Upper gastrointestinal (GI) bleeding is defined as hemorrhage from the mouth to the ligament of Treitz. Common risk factors for upper GI bleeding include prior upper GI bleeding, anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes of upper GI bleeding include peptic ulcer bleeding, gastritis, esophagitis, variceal bleeding, Mallory-Weiss syndrome, and cancer. Signs and symptoms of upper GI bleeding may include abdominal pain, lightheadedness, dizziness, syncope, hematemesis, and melena. Physical examination includes assessment of hemodynamic stability, presence of a...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
ConclusionGOO caused by phytobezoar can occur in patients without history of previous gastric surgery or diabetes mellitus. Urgent laparotomy may be indicated.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
In the early 1990s, doctors began describing a new condition affecting the esophagus of patients who were predisposed to allergies including food allergy, asthma, and eczema, and who were having trouble swallowing. Today, we call this condition eosinophilic esophagitis (EoE). What is EoE? EoE is an allergic inflammation of the esophagus that causes a range of symptoms. Adolescents and adults most often experience it as difficulty swallowing, sometimes feeling like food moves too slowly through the esophagus and into the stomach. In some cases, food actually gets stuck (and may require urgent removal). Children and some adu...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Allergies Digestive Disorders Health Source Type: blogs
CONCLUSIONThe perforated gastric ulcer is a complication of the mini bariatric bypasses, and the laparoscopic treatment of the perforation associated with thorough irrigation for of the abdominal cavity and omentoplasty present good results for management of this complication.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
The authors ’ conclusions are that “routine use of proton pump inhibitors [PPIs] in patients receiving low-dose anticoagulation and/or aspirin for stable cardiovascular disease does not reduce upper gastrointestinal events, but may reduce bleeding from gastroduodenal lesions.”1 We deem the latter statemen t questionable and a forcing of the data.Indeed, the primary outcome was an “upper GI event,” which includes a composite of overt bleeding (hematemesis and/or melena) with a gastroduodenal lesion (peptic ulcer or neoplasia confirmed by endoscopy or radiology) that is bleeding at the time of t...
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Correspondence Source Type: research
(Natural News) Gastritis and peptic ulcer are gastrointestinal problems that often cause pain and discomfort. A study published in the Journal of Medicinal Food suggests using a compound in Japanese honeysuckle (Lonicera japonica) to help with these conditions. For the study, a team of researchers from South Korea looked at the effects of BST-104, a water extract...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
​BY FAHAD SHAH &AHMED RAZIUDDIN, MDA 68-year-old woman presented with acute abdominal pain that had started three hours earlier. She said she had constant upper abdominal pain that was sharp and stabbing, and she rated her pain as 8/10.The patient said the pain did not radiate, and she was clearly in acute distress. She reported that her last meal had been four hours before and that she was nauseated and had had three to four episodes of dry heaves.She had no other concerning symptoms, and her pain was unaffected by eating, drinking, or position. She had a paraesophageal rolling hiatal hernia and was aware of her chr...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
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