title: Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature.
abstract: Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.
authors.affiliation: Department of Surgical Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Vashistha
authors.affiliation: Department of Surgical Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
authors.forename: Dinesh
authors.identifier: 0000-0002-0951-4986
authors.initials: D
authors.lastname: Singhal
authors.affiliation: Department of Radiology, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
authors.forename: Gurpreet
authors.initials: G
authors.lastname: Makkar
authors.affiliation: Department of Gastroenterology & Hepatology, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
authors.forename: Suneel
authors.initials: S
authors.lastname: Chakravarty
authors.affiliation: Department of Gastroenterology & Hepatology, Max Super Speciality Hospital, Saket, New Delhi 110017, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Raj