[Perforated duodenal ulcer: subtotal anterior linear and posterior tuberous gastrectomy].
OBJECTIVE
To evaluate emergency surgery procedures for perforated duodenal ulcers.


METHODS
Emergency surgery was performed for perforated duodenal ulcers in 25 patients (19 males and 6 females) with a mean age of 36 +/- 15 years. The procedure consisted of simple closure followed by anterior and partial posterior linear gastrectomy using a stapling device. There were 16 patients who smoked, 11 who drank and smoked, 3 who were under treatment with non-corticosteroid anti-inflammatory agents, 2 who had a history of other disease (myocardial infarction and arteritis) and 4 who were in septic shock.


RESULTS
The delay in closure of perforation was less than 6 hours in 17 cases. Peritoneal leakage was confined to the supramesocolic level in 19 cases. The mean follow-up was 14 +/- 2 months with endoscopic control at 12 months. One recurrence (4%) was observed at 8 months. One patient died. Morbidity occurred in 7 patients (28%); epigastric bloating in 5 cases, subphrenic abscess in 1, abscess of the stomach wall in 1 and oesophageal reflux treated without surgery in 1. The mean duration of hospitalization was 13 +/- 3 days.
Brunet
C
C
Chirurgie générale et Urgences, Hôpitaux Sud, Marseille.
Sielezneff
I
I
Thomas
P
P
Samson
P
P
Farisse
J
J
D000328:Adult; D000368:Aged; D004381:Duodenal Ulcer / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D010439:Peptic Ulcer Perforation / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D015167:Vagotomy, Truncal
Ulcère duodénal perforé: gastrectomie linéaire antérieure subtotale et tubérositaire postérieure.