Abstract
Of 496 patients treated surgically for acute gastroduodenal perforation, 144 were treated by simple closure, 317 by immediate subtotal gastrectomy, 22 by immediate hemigastrectomy and vagotomy and 13 by delayed subtotal gastrectomy. In our most recent experience with 225 consecutive resections, the postoperative mortality rate was no greater than that observed following elective subtotal gastrectomy for other complications of ulcer disease. A review of the late results indicated that the response of patients with this complication is similar to that of patients with other complications of ulcer disease treated in the same manner. It was concluded that a definitive surgical procedure should be employed as the operation of choice in properly selected patients.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- COOLEY D. A., JORDAN G. L., BROCKMAN H. L., DEBAKEY M. E. Gastrectomy in acute gastroduodenal perforation: analysis of 112 cases. Ann Surg. 1955 Jun;141(6):840–849. doi: 10.1097/00000658-195506000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
- FISHER P. B., JORDAN G. L., Jr The Billroth I gastrectomy for the treatment of duodenal ulcer. Am Surg. 1958 Dec;24(12):922–926. [PubMed] [Google Scholar]
- JORDAN G. L., Jr, DEBAKEY M. E. The surgical management of acute gastroduodenal perforation. An analysis of 400 surgically treated cases. including 277 treated by immediate subtotal gastrectomy. Am J Surg. 1961 Mar;101:317–324. doi: 10.1016/0002-9610(61)90231-8. [DOI] [PubMed] [Google Scholar]
- PIERANDOZZI J. S., HINSHAW D. B., STAFFORD C. E. Vagotomy and pyloroplasty for acute perforated duodenal ulcer. A report of seventy-five cases. Am J Surg. 1960 Aug;100:245–250. doi: 10.1016/0002-9610(60)90297-x. [DOI] [PubMed] [Google Scholar]