Omental plugging for large-sized duodenal peptic perforations: A prospective randomized study of 100 patients.
BACKGROUND
Due to friable margins and the moribund state of the patient, managing giant duodenal perforations (>20 mm in diameter) is a challenging task.


METHODS
A prospective randomized study of 100 patients with large-sized (> 20 mm) duodenal peptic perforation comparing omental plugging (study group) with omentopexy (control group) was carried out.


RESULTS
Size of the perforation varied between 20 to 30 mm. No study group patients developed a postoperative perforation site leak, as compared with 6 patients in the control group. Gastric outlet obstruction was significantly less at 6 weeks and 5 years in the study group as compared with the control group, and mortality was significantly less in the study group.


CONCLUSIONS
It was concluded that omental plugging was a safe and reliable method of treatment for large-sized duodenal peptic perforations.
Jani
Kalpesh
K
Department of Surgery, Medical College & SSG Hospital, Baroda, India. kvjani@gmail.com
Saxena
A K
AK
Vaghasia
Rasik
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum; D010439:Peptic Ulcer Perforation / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies