title: Peptic ulcer perforation: management of high-risk cases by percutaneous abdominal drainage.
abstract: Sixty-six patients were selected as high-risk cases of duodenal ulcer perforation. After resuscitation with intravenous fluids and nasogastric suction, a widebore percutaneous intra-abdominal drain was put in under local anaesthesia. There were three (4.5%) deaths; 58 (87.8%) patients improved satisfactorily. High-risk peptic ulcer perforation patients can be managed by putting in an intra-abdominal drain supported by conservative treatment.
authors.affiliation: Department of Surgery, Khulna Medical College, Khulna 9000, Bangladesh. miganskh@hotmail.com
authors.forename: M Mizanur
authors.initials: MM
authors.lastname: Rahman
authors.forename: A
authors.initials: A
authors.lastname: Al Mamun
authors.forename: M Delwar
authors.initials: MD
authors.lastname: Hossain
authors.forename: M Kante
authors.initials: MK
authors.lastname: Das
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents; D000897:Anti-Ulcer Agents