title: [Good results of stent treatment in perforated duodenal ulcer].
abstract: Despite modern treatment of ulcer disease perforations still occur and constitute a life threatening complication. Standard treatment is surgical closure. We have introduced stent treatment as a minimal invasive alternative, mainly in elderly and co-morbid patients. During a 4-year period (2009-2012) ten patients with perforated duodenal ulcer were treated with a covered duodenal stent at South Älvsborg Hospital. These patients were retrospectively compared with all patients (n = 19) treated with surgical closure at the same hospital during the same time period. Stent treatment shows good clinical results indicating fewer complications than surgical treatment even if the patients had a slightly higher ASA score. In this series stent treatment is shown to be a safe and effective alternative for treating perforated duodenal ulcers, even in old and co-morbid patients.
authors.affiliation: Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden South Alvsborg Hospital - Dept of Surgery Borås, Sweden.
authors.forename: Maria
authors.initials: M
authors.lastname: Bergström
authors.affiliation: Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden.
authors.forename: Jorge
authors.initials: J
authors.lastname: Arroyo Vázquez
authors.affiliation: Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden.
authors.forename: Gina
authors.initials: G
authors.lastname: Nsouli
authors.affiliation: Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden Södra Älvsborgs Sjukhus - Kirurgkliniken Borås, Sweden.
authors.forename: Per-Ola
authors.initials: PO
authors.lastname: Park
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D004322:Drainage; D004381:Duodenal Ulcer / Q000150:complications*; D005260:Female; D005773:Gastroscopy; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome