Is there any role of acid reducing gastric surgery in peptic ulcer perforation?
Helicobacter pylori (H. pylori) is known to be the prime factor of peptic ulcer disease as well as NSAID usage. Although medical treatment of the bacteria can eliminate the problem for more than 90% of the infected people but the cost of treatment is high then acid reducing gastric surgery still has a definite role. The prevalence of H. pylori in peptic ulcer perferation is still unknown also whether vagotomy and gastrectomy could eradicate H. pylori. Now laparoscopic surgery especially the simple repair of the perforation has became routinely used in many part of the world. So acid reducing gastric surgery is a good choice in chronic user of NSAID and also an option for people who have H. pylori infection.
Nivatvongs
Supanit
S
Department of Surgery, Faculty of Medicine, Chulalongkorn University, Patumwan, Bangkok, Thailand.
D013505:Digestive System Surgical Procedures; D005744:Gastric Acid; D016481:Helicobacter Infections / Q000150:complications*; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D010437:Peptic Ulcer / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000601:surgery* / Q000628:therapy; D012307:Risk Factors; D016896:Treatment Outcome