Evidence map›Paper›PMID 33924059›Full record

ArticleJournal of clinical medicine2021

Clinical Characteristics of Primary Repair for Perforated Peptic Ulcer: 10-Year Experience in a Single Center.

Yun-Suk Choi, Yoon-Seok Heo, Jin-Wook Yi

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Article in Journal of clinical medicine, 2021. 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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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Yun-Suk ChoiDepartment of Surgery, Inha University Hospital, College of Medicine, Jung-gu, Inchon 22332, Korea.ORCID 0000-0003-2442-664X
Yoon-Seok HeoDepartment of Surgery, Inha University Hospital, College of Medicine, Jung-gu, Inchon 22332, Korea.
Jin-Wook YiDepartment of Surgery, Inha University Hospital, College of Medicine, Jung-gu, Inchon 22332, Korea.ORCID 0000-0002-9296-8443

Funding

Inha University Hospital Research Grant
6 · The paper itself

Abstract

backgroundPerforated peptic ulcer (PPU) is a disease whose incidence is decreasing. However, PPU still requires emergency surgery. The aim of this study was to review the clinical characteristics of patients who received primary repair for PPU and identify the predisposing factors associated with severe complications.

methodFrom January 2011 to December 2020, a total of 75 patients underwent primary repair for PPU in our hospital. We reviewed the patients' data, including general characteristics and perioperative complications. Surgical complications were evaluated using the Clavien-Dindo Classification (CDC) system, with which we classified patients into the mild complication (CDC 0-III,

resultFifty patients had gastric perforation, and twenty-five patients had duodenal perforation. Among surgical complications, leakage or fistula were the most common (5/75, 6.7%), followed by wound problems (4/75, 5.3%). Of the medical complications, infection (9/75, 12%) and pulmonary disorder (7/75, 9.3%) were common. Eight patients died within thirty days after surgery (8/75, 10.7%). Liver cirrhosis was the most significant predisposing factor for severe complications (HR = 44.392,

conclusionPPU is still a surgically important disease that has significant mortality, above 10%. Liver cirrhosis is the most important underlying disease associated with severe complications.

Indexed as

Clavien-Dindo classificationliver cirrhosisPPUprimary repair

Identifiers

PMID33924059
PMCPMC8073572

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