title: Surgical management of peptic ulcer disease.
abstract: OBJECTIVE
  To determine the pattern of surgically managed peptic ulcer disease.
  
  
  METHODS
  A retrospective study.
  
  
  METHODS
  Department of Surgery, Moi Teaching and Referral Hospital, Eldoret, Kenya.
  
  
  METHODS
  Fifty three patients operated on for peptic ulcer disease.
  
  
  RESULTS
  The mean age was 47 years with a male/female ratio of 1.7:1. Duodenal ulcer associated complications were the commonest with duodenal ulcer/gastric ulcer ratio of 11.5:1. Most patients had chronic peptic ulcer symptoms with inadequate or no medical treatment. Perforations were the commonest complications (56.6%) followed by gastric outlet obstruction (34.0%). Closure with omental patch was done in 83.3% of perforations while truncal vagotomy and drainage was done in gastric outlet obstruction. Hypostatic pneumonia was the commonest post-operative complication. Seventy one point seven per cent of the patients were free of dyspeptic symptoms during the brief follow-up period.
  
  
  CONCLUSIONS
  Most patients with chronic peptic ulcers had had inadequate treatment and perforation was the most common complication. Repair of perforations with omental patch, and truncal vagotomy and drainage procedure for gastric outlet obstruction, were satisfactory surgical methods offered to patients at the Moi Teaching and Referral Hospital.
authors.affiliation: Department of Surgery, Faculty of Health Sciences, Moi University, P.O. Box 4606, Eldoret, Kenya.
authors.forename: R T
authors.initials: RT
authors.lastname: Kuremu
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002908:Chronic Disease; D004415:Dyspepsia / Q000209:etiology; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology; D005763:Gastroenterostomy / Q000009:adverse effects*; D006784:Hospitals, Teaching; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation; D010437:Peptic Ulcer / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000209:etiology; D011014:Pneumonia / Q000209:etiology; D011787:Quality of Health Care; D012017:Referral and Consultation; D012189:Retrospective Studies; D017678:Sex Distribution; D016896:Treatment Outcome; D015167:Vagotomy, Truncal / Q000009:adverse effects*