Perforated Gastroduodenal Ulcers

  • V. I. Sreenivas

Abstract

For reasons not yet clear, the incidence of peptic ulcer and of ulcer perforation has decreased in the past two decades (1,2). The exact mechanism and precipitating factors of perforation are still matters of speculation. The reported mortality rate for gastroduodenal ulcer perforation ranges from 5–24% (3,4). Factors significantly contributing to mortality are the age of the patient, the site of perforation, concurrent medical diseases, and the duration between perforation and treatment (4,5). Of the above, the surgeon can influence only the duration between perforation and treatment through early diagnosis and prompt treatment; mortality is 3.7% when the interval is less than 12 hours, but increases to 20% when the interval is greater than 12 hours (5). This fact amply illustrates the benefits of early diagnosis and treatment.

Keywords

Nonoperative Treatment Drainage Procedure Gastric Outlet Obstruction Perforated Peptic Ulcer Perforated Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1980

Authors and Affiliations

  • V. I. Sreenivas
    • 1
    • 2
    • 3
  1. 1.The Hospital of Saint RaphaelNew HavenUSA
  2. 2.Department of SurgeryYale University School of MedicineNew HavenUSA
  3. 3.Yale New Haven HospitalNew HavenUSA

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