PERFORATIONS IN ACUTE DUODENAL-ULCERS

  • 1 January 1982
    • journal article
    • research article
    • Vol. 155  (2) , 193-196
Abstract
To determine the clinical characteristics and outcome of perforated acute ulcers of the duodenum, 60 patients 28.3% of all perforations, after closure only were prospectively studied. Patients with acute ulcers were significantly older and had a higher hospital mortality than did those with perforated chronic ulcers. Within the 1st 3 yr following closure, chronic ulcers recurred significantly more often than did acute ulcers. Nevertheless, relapses in patients with acute ulcers were usually symptomatic and, on occasion, necessitated reoperation for complications. Among the acute ulcer group, individuals who had perforated ulcers by the age of 30 yr had a significantly increased risk of early recurrence. Due to the higher risk, an immediate, definitive operation should apparently be evaluated in younger patients with a perforated acute ulcer of the duodenum.

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