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One hundred seven patients with perforated gastric ulcers were treated by either simple closures (omental patches, 81 patients; primary suture without patches, 13 patients; or ulcer excisions with closures, two patients) or primary gastric resections (11 patients). The latter were performed when ulcers were too large to be treated by simple closures. The mortality rate after omental patches or ulcer excisions with closures was 12%, while that following primary gastric resections was 45%. Patients who underwent closures with suturing only had a mortality rate of 62%, which was significantly higher than the mortality rate following patch closures. Gastric outlet obstructions developed following 15% of simple closures of prepyloric ulcers. Closures of perforated gastric ulcers with omental patches or ulcer excisions can be undertaken with low mortality and morbidity rates. Primary gastric resections are reserved for patients with ulcers that are large or located in the prepyloric area.
W W Turner, and
W M Thompson, and
E R Thal
May 1987,
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W W Turner, and
W M Thompson, and
E R Thal
January 2013,
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W W Turner, and
W M Thompson, and
E R Thal
October 1993,
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W W Turner, and
W M Thompson, and
E R Thal
July 1945,
Cirugia y cirujanos,
W W Turner, and
W M Thompson, and
E R Thal
February 1972,
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W W Turner, and
W M Thompson, and
E R Thal
July 1980,
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W W Turner, and
W M Thompson, and
E R Thal
October 2002,
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W W Turner, and
W M Thompson, and
E R Thal
July 1944,
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W W Turner, and
W M Thompson, and
E R Thal
September 1985,
Fel'dsher i akusherka,
W W Turner, and
W M Thompson, and
E R Thal
January 1920,
California state journal of medicine,
