ArticleInternational journal of surgery case reports2019
The case series of peritonitis due to perforated peptic ulcer: How does conservative management play role?
Article in International journal of surgery case reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 10 citations in OpenAlex.
- Risk Factors for Mortality in Emergently Admitted Patients with Acute Gastric Ulcer: An Analysis of 15,538 Patients in National Inpatient Sample, 2005-2014.International journal of environmental research and public health · 2022Article
- Effectiveness ofOxidative medicine and cellular longevity · 2019Article
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1 author at 1 institution in 1 country.
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Abstract
introductionSurgical intervention is a conventional treatment for perforated peptic ulcer patients. This study aims to determine whether and how conservative non-operative management plays role in patients with pneumoperitoneum-peritonitis due to perforated peptic ulcers.
methodsA 9-year retrospective study was conducted in patients, who visit one surgeon service, with peritonitis due to perforated peptic ulcer and received non-operation conservative treatment. The treatment consists of nasogastric suction, intravenous fluid (IV) resuscitation, IV antibiotic and IV omeprazole. Outcomes and clinical course of conservative treatment in the selected group were reviewed. Factors associated with those outcomes and clinical course were analyzed.
resultsThere were 38 patients in this case series. Of which, 36 patients (94.7%) showed improvement after 24 h of conservative treatment and discharged without operation. Two patients underwent laparotomy in the 3
conclusionIn this case series, conservative non-surgical management showed good results for patients with peptic ulcers perforation. It could be used as an effective alternative modality when carefully patient selection and closely observed.
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