Perforated Peptic Ulcer

  • Jameson L. Chassin


Not all free perforations of gastric ulcers are susceptible to simple plication techniques. Often the ulcer is quite large and surrounded by edema. When the perforation occurs on the posterior surface of the antrum, adequate repair by plication techniques is generally not possible. Also, gastric ulcers have a high rate of recurrence. For these reasons, in a goodrisk patient, in whom the diagnosis of perforation has been made reasonably early, gastric resection is preferred to simple plication. If for technical reasons a sound plication cannot be constructed, then gastric resection is mandatory, regardless of the risk, as a recurrent gastric leak into the peritoneal cavity is almost always fatal.


Duodenal Ulcer Gastric Ulcer Gastric Resection Perforated Peptic Ulcer Duodenal Obstruction 
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  1. Jordan GL Jr et al. Acute gastroduodenal perforation: comparative study of treatment with simple closure, subtotal gastrectomy and hemigastrectomy and vagotomy. Arch Surg 1966;92:449.PubMedCrossRefGoogle Scholar
  2. Jordan PH Jr. Indications for parietal cell vagotomy without drainage in gastrointestinal surgery. Ann Surg 1989;210:29–41.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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