North American Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 4  |  Issue : 1  |  Page : 35--39

Perforated duodenal ulcer in high risk patients: Is percutaneous drainage justified?


Aly Saber1, Mohammad A Gad2, Gouda M Ellabban2 
1 Department of General Surgery, Port-Fouad, Port-Said, Egypt
2 Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt

Correspondence Address:
Aly Saber
Department of General Surgery, Port-Fouad, Port-Said
Egypt

Background: Conservative treatment was recommended as the treatment of choice in perforated acute peptic ulcer. Here, we adjunct percutaneous peritoneal drainage with nonoperative conservative treatment in high risk elderly patients with perforated duodenal ulcer. Aim: The work was to study the efficacy of percutaneous peritoneal drainage under local anesthesia supported by conservative measures in high risk elderly patients, according to the American Society of Anesthesiologists grading, with perforated duodenal ulcer. Patients and Methods: Twenty four high risk patients with age >65 years having associated medical illness with evidence of perforated duodenal ulcer. Results: The overall morbidity and mortality were comparable with those treated by conservative measures alone. Conclusion: In high risk patients with perforated peptic ulcer and established peritonitis, percutaneous peritoneal drainage under local anesthesia seems to be effective with least operative trauma and mortality rate.


How to cite this article:
Saber A, Gad MA, Ellabban GM. Perforated duodenal ulcer in high risk patients: Is percutaneous drainage justified?.North Am J Med Sci 2012;4:35-39


How to cite this URL:
Saber A, Gad MA, Ellabban GM. Perforated duodenal ulcer in high risk patients: Is percutaneous drainage justified?. North Am J Med Sci [serial online] 2012 [cited 2019 Dec 16 ];4:35-39
Available from: http://www.najms.org/article.asp?issn=1947-2714;year=2012;volume=4;issue=1;spage=35;epage=39;aulast=Saber;type=0