Peptic ulcer perforation: management of high-risk cases by percutaneous abdominal drainage.
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.
Rahman
M Mizanur
MM
Department of Surgery, Khulna Medical College, Khulna 9000, Bangladesh. miganskh@hotmail.com
Al Mamun
A
A
Hossain
M Delwar
MD
Das
M Kante
MK
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*
D000900:Anti-Bacterial Agents; D000897:Anti-Ulcer Agents