Simple patch closure for perforated peptic ulcer in children followed by Helicobacter pylori eradication

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dc.authoridYILDIZ, Turan/0000-0001-5317-7537;
dc.authorwosidceran ozcan, canan/HJZ-4187-2023
dc.authorwosidYILDIZ, Turan/ABI-1293-2020
dc.authorwosidceran özcan, canan ceran/B-1867-2018
dc.contributor.authorYildiz, Turan
dc.contributor.authorIice, Huri Tilla
dc.contributor.authorCeran, Canan
dc.contributor.authorIlce, Zekeriya
dc.date.accessioned2024-08-04T20:38:07Z
dc.date.available2024-08-04T20:38:07Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: Peptic ulcer disease in children is rare. Therefore, the diagnosis can be missed until complications such as perforation or hemorrhage occur. Few reports have investigated the procedures and outcomes of children who have undergone operations for perforated duodenal ulcers. We report our experience with the modified Graham technique for perforated duodenal ulcers in nine children and review the literature. Methods: The records of patients operated on for a perforated duodenal ulcer in the last 8 years in two pediatric surgery centers were evaluated retrospectively. Patient demographics, symptoms, time to admission to hospital, operative findings, and postoperative clinical course were evaluated. Results: Nine children (mean age 13.2 years, range 6-170 years) were included. All patients were admitted in the first six hours after their abdominal pain started. In three patients, there was free air on plain x-rays, while the x-rays were normal in six. All perforations were located on the anterior surface of the first part of the duodenum and repaired with primary suturing and Graham patch omentoplasty. The recovery was uneventful in all patients. In five patients, urea breath tests were performed postoperatively for Helicobacter Pylon, and the results were positive. All patients underwent triple therapy with lansoprazole, amoxicillin, and clarithromycin. The mean follow-up time was 58 (range 3-94) months. Conclusions: Peptic ulcer perforation should be suspected in children who have acute abdominal pain and peritoneal signs, especially when their suffering is intense. The simple patch repair and postoperative triple therapy for Helicobacter Pylori are safe and satisfactory for treating peptic ulcer perforation in children.en_US
dc.identifier.endpage496en_US
dc.identifier.issn1682-024X
dc.identifier.issue3en_US
dc.identifier.pmid24948965en_US
dc.identifier.scopus2-s2.0-84897510601en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage493en_US
dc.identifier.urihttps://hdl.handle.net/11616/96395
dc.identifier.volume30en_US
dc.identifier.wosWOS:000337656100008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherProfessional Medical Publicationsen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectPeptic Ulceren_US
dc.subjectPerforationen_US
dc.subjectSimple Closureen_US
dc.titleSimple patch closure for perforated peptic ulcer in children followed by Helicobacter pylori eradicationen_US
dc.typeArticleen_US

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