caa a22 4500 475778685 CHVBK 20180406123638.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s004649900011 doi (NATIONALLICENCE)springer-10.1007/s004649900011 Laparoscopic closure of perforated duodenal ulcer [Elektronische Daten] [M. Khoursheed, M. Fuad, H. Safar, H. Dashti, A. Behbehani] Background: Medical treatment of peptic ulcer is highly successful, and the eradication of Helicobacter pylori (H. pylori) reduces ulcer recurrence. However, the incidence of perforated duodenal ulcer and its associated mortality have not been reduced by modern methods of therapy. Laparoscopic simple closure and omental plug by suturing, fibrin glue, and stapler have been successful. Methods: Over a 1-year period (1996-97), 21 patients with perforated duodenal ulcer were operated on in our hospital by laparoscopic simple closure and omental patch. The mean age was 36.4±11.8 years (range, 18-61). Twenty patients were male (93.7%). The mean duration of pain was 9.1±11.7 hs (range, 2-48). Three patients had a previous history of duodenal ulcer (14.3%), and another three (14.3%) patients had a history of nonsteroidal antiinflammatory drug (NSAID) intake. Erect chest radiograph showed that 19 patients had air under the diaphragm (90.5%). Sixteen patients (76.2%) had frank pus in the abdomen, and five patients had a minimal peritoneal reaction (23.8%). Results: The mean operative time was 71.6±24.6 mins (range, 40-120), and the mean hospital stay was 5.2±1.6 days (range, 3-9). The mean time to resume oral fluids was 3.1±0.8 days (range, 2-4). Only one patient was reoperated due to leakage identified by gastrographin swallow. Conclusions: This procedure is safe and efficient; however, further study of its long-term effectiveness and comparability to existing therapy is still needed. Springer-Verlag, 2000 Laparoscopic surgery nationallicence Peptic ulcer nationallicence Perforted duodenal ulcer nationallicence Khoursheed M. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut Fuad M. Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait aut Safar H. Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait aut Dashti H. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut Behbehani A. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 56-58 0930-2794 14:1<56 2000 14 464 https://doi.org/10.1007/s004649900011 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900011 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Khoursheed M. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut NATIONALLICENCE 700 1- Fuad M. Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait aut NATIONALLICENCE 700 1- Safar H. Department of Surgery, Mubarak Al-Kabeer Hospital, Jabriya, Kuwait aut NATIONALLICENCE 700 1- Dashti H. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut NATIONALLICENCE 700 1- Behbehani A. Department of Surgery, Faculty of Medicine, Kuwait University, Post Office Box 24923, 13110, Safat, Kuwait aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/1(2000-01-01), 56-58 0930-2794 14:1<56 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer