An Overview of Surgical Treatment of Perforated Peptic Ulcer
Hashem Bark Awadh Abood
Dr. Samir Abbas Hospital, Jeddah King Fahad Hospital – Albaha, Saudi Arabia.
Rakan Ali Alshehri
King Saud bin Abdulaziz University for Health Sciences - College of Medicine, Saudi Arabia.
Yasir Salah Aljohani
Taibah University, Saudi Arabia.
Abdullah Yousef Almusallam
Qassim University, Saudi Arabia.
Norah Sulaiman Aljabarah
University of Hail, Saudi Arabia.
Abeer Ali Hakami
Jazan University, Saudi Arabia.
Talal Mohammed Alzahrani
Faculty of Medicine in Rabigh, King Abdulaziz University, Saudi Arabia.
Ohud Mohammed M. Alqahtani
King Khalid University, Saudi Arabia.
Osama Hassan alqahtani
King Faisal University College of Medicine, Saudi Arabia.
Ahmed Abdullah Almuhanna
King Faisal University College of Medicine, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
A number of advancements in the therapy of perforated duodenal ulcers have been made in the recent two decades, suggesting that the disease's morbidity and mortality may be reduced. Recently, there has been a return to a more conservative first approach, with reports of either delayed resection or two-stage surgery, in which a non-radical resection is performed first, followed by lymphadenectomy at a later date. Furthermore, because gastric lymphoma can be cured without resection, many upper GI surgeons recommend performing a biopsy and repair at the index operation and then considering how best to continue if adenocarcinoma is discovered later.
Keywords: Surgical treatment, peptic ulcer, duodenal ulcer