BACKGROUND: Due to friable margins and the moribund state of the patient, managing giant duodenal perforations (>20 mm in diameter) is a challenging task. METHODS: A prospective randomized study of 100 patients with large-sized (> 20 mm) duodenal peptic perforation comparing omental plugging (study group) with omentopexy (control group) was carried out. RESULTS: Size of the perforation varied between 20 to 30 mm. No study group patients developed a postoperative perforation site leak, as compared with 6 patients in the control group. Gastric outlet obstruction was significantly less at 6 weeks and 5 years in the study group as compared with the control group, and mortality was significantly less in the study group. CONCLUSION: It was concluded that omental plugging was a safe and reliable method of treatment for large-sized duodenal peptic perforations.
RCT Entities:
BACKGROUND: Due to friable margins and the moribund state of the patient, managing giant duodenal perforations (>20 mm in diameter) is a challenging task. METHODS: A prospective randomized study of 100 patients with large-sized (> 20 mm) duodenal peptic perforation comparing omental plugging (study group) with omentopexy (control group) was carried out. RESULTS: Size of the perforation varied between 20 to 30 mm. No study group patients developed a postoperative perforation site leak, as compared with 6 patients in the control group. Gastric outlet obstruction was significantly less at 6 weeks and 5 years in the study group as compared with the control group, and mortality was significantly less in the study group. CONCLUSION: It was concluded that omental plugging was a safe and reliable method of treatment for large-sized duodenal peptic perforations.
Authors: Yogesh K Vashist; Emre F Yekebas; Florian Gebauer; Michael Tachezy; Kai Bachmann; Alexandra König; Asad Kutup; Jakob R Izbicki Journal: Langenbecks Arch Surg Date: 2012-08-19 Impact factor: 3.445
Authors: Wasif Mohammad Ali; M M Ansari; Syed Amjad Ali Rizvi; A Z Rabb; Tariq Mansoor; Syed Hassan Harris; Mohd Sadiq Akhtar Journal: Indian J Surg Date: 2016-08-20 Impact factor: 0.656