Operative management of peptic ulcer complications in children Cocuklarda peptik ulser komplikasyonlarinda cerrahi tedavi


KIRIŞTIOĞLU İ. , GÜRPINAR A. N. , Sinmaz K., Ozel I., BALKAN E. A. , Dogruyol H.

Pediatrik Cerrahi Dergisi, vol.11, pp.23-26, 1997 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 11
  • Publication Date: 1997
  • Title of Journal : Pediatrik Cerrahi Dergisi
  • Page Numbers: pp.23-26

Abstract

In this study, a retrospective analysis of 8 patients who underwent surgical interventions for treatment of peptic ulcer complications between 1990 and 1996 was presented. Of these eight patient (6 male, 2 female, age range 1 to 11), 4 had pyloric obstruction, 3 had acute abdomen, and 1 had massive gastrointestinal bleeding. Truncal vagotomy and drainage procedures were performed on seven patients. The drainage methods were gastrojejunostomy, gastroduodenostomy, and pyloroplasty. The 8th patient was a late perforation case and underwent raphy omentoplasty. This patient died on the second postoperative day as a result of septicemia. Two patients who underwent gastrojejunostomy were readmitted with abdominal pain and hematemesis in the postoperative 2nd and 4th years and localised gastritis around the anastomostic site and marginal ulcers were observed on endoscopic examinations. Both children were treated medically. The remaining 5 patients were problem-free, during the early follow-up period. Although surgery is mandatory for management of complicated peptic ulcer patients, there is no consensus regarding the ideal surgical methods.