DEFINITIVE EMERGENCY TREATMENT OF PERFORATED DUODENAL-ULCER

  • 1 January 1976
    • journal article
    • research article
    • Vol. 143  (6) , 890-894
Abstract
A retrospective survey was made of all patients with a proved diagnosis of perforated duodenal ulcer during a 6-yr period. The over-all mortality from this condition in the 192 patients was 11.4% and the mortality after operation, 6.3%. Of the 176 patients surgically treated, 77 underwent simple suture only with a mortality of 13% as compared with 99 patients treated by emergency vagotomy and pyloroplasty procedures with a 1% mortality. Emergency definitive operations were performed without increased morbidity, mortality or hospital stay with greatly improved long-term results as compared with simple suture. Emergency vagotomy and pyloroplasty procedures were the treatment of choice for a perforated duodenal ulcer.

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