Abstract
Gastroduodenal perforation may be spontaneous or traumatic and the majority of spontaneous perforation is due to peptic ulcer disease. Improved medical management of peptic ulceration has reduced the incidence of perforation, but still remains a common cause of peritonitis. The classic sub-diaphragmatic air on chest x-ray may be absent and computed tomography scan is a more sensitive investigation in the stable patient. The management of perforated peptic ulcer disease is still a subject of debate. The majority of perforated peptic ulcers are caused by Helicobacter pylori, so definitive surgery is not usually required. Perforated peptic ulcer is an indication for operation in nearly all cases except when the patient is asymptomatic or unfit for surgery. However, non-operative management has a significant incidence of intra-abdominal abscesses and sepsis. Primary closure is achievable in traumatic perforation, but the management follows the Advanced Trauma Life Support (ATLS) principles.
Highlights
Elroy Patrick Weledji*Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon Edited by: Sanoop Koshy Zachariah, Kerala Institute of Medical Sciences (KIMS), India Reviewed by: Premkumar Balachandran, Apollo Speciality Hospitals, Chennai, India Bassem Soliman Hegab, National Liver Institute, Egypt Specialty section: This article was submitted to Visceral Surgery, a section of the journal
Gastrointestinal perforation, with leakage of alimentary contents into the peritoneal cavity, is a common surgical emergency and may have life-threatening sequelae
Confirmation of eradication with Urea breath test is recommended in patients with resistant ulcer, MALT lymphoma and previous resection of gastric cancer [1, 4]
Summary
Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon Edited by: Sanoop Koshy Zachariah, Kerala Institute of Medical Sciences (KIMS), India Reviewed by: Premkumar Balachandran, Apollo Speciality Hospitals, Chennai, India Bassem Soliman Hegab, National Liver Institute, Egypt Specialty section: This article was submitted to Visceral Surgery, a section of the journal
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