| Perforated duodenal ulcer in high risk patients: is percutaneous drainage justified? | |
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MedLine Citation:
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PMID: 22393546 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Aly Saber; Mohammad A Gad; Gouda M Ellabban |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: North American journal of medical sciences Volume: 4 ISSN: 1947-2714 ISO Abbreviation: N Am J Med Sci Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-03-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101521411 Medline TA: N Am J Med Sci Country: India |
Other Details:
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Languages: eng Pagination: 35-9 Citation Subset: - |
Affiliation:
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Department of General Surgery, Port-Fouad, Port-Said, Egypt. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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