ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Outcomes of omental patch repair in large or giant perforated peptic ulcer are comparable to gastrectomy.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 29 citations in OpenAlex.
- Evidence-based, cost-effective management of perforated peptic ulcer disease: An algorithm of the Journal of Trauma and Acute Care Surgery Emergency General Surgery Algorithms Working Group.The journal of trauma and acute care surgery · 2026Article
- Retrospective Study on Various Surgical Approaches for Gastric Ulcer Perforation. A Comparative Study.Journal of pharmacy & bioallied sciences · 2025Article
- Does Seasonality Affect Peptic Ulcer Perforation? A Single-Center Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- Analysis of the characteristics and management of perforated peptic ulcer from 2011 to 2022: A multicenter and retrospective descriptive study.Annals of gastroenterological surgery · 2025Article
- Retrospective comparative study of different surgical methods for gastric ulcer perforation: Efficacy and postoperative complications.World journal of gastrointestinal surgery · 2025Article
- Advances and results in omental patch repair of gastrointestinal perforations: A narrative review.Surgery in practice and science · 2024Review
- Perforated giant peptic ulcer of the stomach in a female patient with multiple sclerosis.Journal of surgical case reports · 2024Article
- Efficacy of pantoprazole plus perforation repair for peptic ulcer and its effect on the stress response.World journal of gastrointestinal surgery · 2023Article
- Risk factors for leak after omentopexy for duodenal ulcer perforations.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Peptic ulcer disease burden, trends, and inequalities in 204 countries and territories, 1990-2019: a population-based study.Therapeutic advances in gastroenterology · 2023Article
- A Comparative Study between Peptic Ulcer Perforation Score, Mannheim Peritonitis Index, ASA Score, and Jabalpur Score in Predicting the Mortality in Perforated Peptic Ulcers.Surgery journal (New York, N.Y.) · 2022Article
- Focus on emergency general surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Omental patch repair of large perforated peptic ulcers ≥25 mm is associated with higher leak rate.Journal of clinical and translational research · 2021Article
- Diverticular Disease of the Appendix Is Associated with Complicated Appendicitis.GE Portuguese journal of gastroenterology · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePerforated peptic ulcer (PPU) complicates 2 to 10% of patients with peptic ulcer disease and has mortality risk of up to 20%. Omental patch repair is the mainstay of surgical management and gastric resectional procedures are advocated for a large/giant ulcer or suspected malignancy. Emergency gastrectomy is associated with increased morbidity and mortality. The aim of this study is to compare the outcomes of omental patch repair with gastrectomy in patients with large PPU (≥ 20 mm).
methodsA retrospective review of all PPU patients who underwent surgery from January 2008 to December 2014 was done. Patients with PPU < 20 mm were excluded. Patient demographics and perioperative data were recorded. Length of hospital stay, post-operative complications, need for intensive care unit admission and all-cause mortality are reported.
results110 patients with a median age of 69.1 (range 28-90) years had PPU ≥ 20 mm. 42 (38.2%) patients presented within 24 h from the onset of abdominal pain. The median American Society of Anaesthesiology score was 3 (range 1-4). 52 patients had omental patch repair and 58 patients had gastrectomy. The overall incidence of intra-abdominal collection, post-operative leakage, re-operation and all-cause mortality was 16.4%, 11.8%, 6.4% and 19.1%, respectively. No difference in post-operative outcomes between the two groups was detected: intra-abdominal collection (p = 0.793), post-operative leakage (p = 0.813), re-operation (p = 0.809) and all-cause mortality (p = 0.736).
conclusionOmental patch repair confers similar perioperative outcomes as compared to gastrectomy in patients with large PPU.
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