Laparoscopic pyloroplasty for perforated peptic ulcer

Edvard Grišin; Saulius Mikalauskas; Tomas Poškus; Valdemaras Jotautas; Kęstutis Strupas

doi:10.5114/wiitm.2017.68537

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abstract:

Case report

Laparoscopic pyloroplasty for perforated peptic ulcer

Edvard Grišin

,

Saulius Mikalauskas

,

Tomas Poškus

,

Valdemaras Jotautas

,

Kęstutis Strupas

Videosurgery Miniinv 2017; 12 (3): 311–314

DOI: https://doi.org/10.5114/wiitm.2017.68537

Online publish date: 2017/06/27

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Peptic ulcer is a common disease affecting millions of people every year. Despite improved understanding and treatment of the disease, the number of patients admitted with duodenal peptic ulcer perforation has not decreased. Deaths from peptic ulcer disease overcome other common emergency situations. Laparoscopic repair of the perforated peptic ulcer (PPU) is the gold standard approach for simple perforation. However, in patients with large perforated chronic ulcers laparotomy with pyloroplasty is the standard treatment. It is generally accepted to perform open surgery in PPU emergencies because of the greater knowledge and experience gathered over the past decades and less potential harm for the patient or surgical complications. We present a case of successful laparoscopic pyloroplasty of a perforated duodenal ulcer with stenosis.

keywords:

Laparoscopic pyloroplasty for perforated peptic ulcer

Edvard Grišin , Saulius Mikalauskas , Tomas Poškus , Valdemaras Jotautas , Kęstutis Strupas

laparoscopic surgery, emergency surgery, perforated peptic ulcer

Edvard Grišin

,

Saulius Mikalauskas

,

Tomas Poškus

,

Valdemaras Jotautas

,

Kęstutis Strupas