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World J Gastrointest Surg. Jan 27, 2014; 6(1): 5-8
Published online Jan 27, 2014. doi: 10.4240/wjgs.v6.i1.5
Published online Jan 27, 2014. doi: 10.4240/wjgs.v6.i1.5
Treatment of perforated giant gastric ulcer in an emergency setting
Pradeep Kumar, Hosni Mubarak Khan, Department of General Surgery, ESI-PGIMSR and Medical College, Bangalore 560010, Karnataka, India
Safarulla Hasanrabba, Department of General Surgery, Dr.B.R.Ambedkar Medical College, Bangalore 560045, Karnataka, India
Author contributions: Kumar P contributed to the concept, research, data and figures, and was the operating surgeon and attending consultant; Khan HM was the attending doctor; and Hasanrabba S contributed to the references.
Correspondence to: Dr. Pradeep Kumar, Assistant Professor, Department of General Surgery, ESI-PGIMSR and Medical College, Rajajinagar, Bangalore 560010, Karnataka, India. dr.pradeep_k20@yahoo.com
Telephone: +91-990-2349960
Received: August 21, 2013
Revised: November 13, 2013
Accepted: November 18, 2013
Published online: January 27, 2014
Revised: November 13, 2013
Accepted: November 18, 2013
Published online: January 27, 2014
Core Tip
Core tip: Giant gastric ulcer is considered to be more prone for perforation because of the large size and it is more likely to be malignant. Delay in seeking surgical care is to be discouraged because of the poor response to medical management. We have shown that with prompt treatment for perforated gastric ulcer, nearly 86% had uneventful recovery, complications were seen in about 10%, and mortality was about 5%. Furthermore, the chances of malignancy and leak after primary closure of giant gastric ulcer is high, so we feel partial distal gastrectomy and gastrojejunostomy is a better option, even in an emergency setting if the expertise is available.