Simple suture for perforated peptic ulcer followed by helicobacter pylori eradication in children

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dc.authorid113496en_US
dc.contributor.authorYıldız, Turan
dc.contributor.authorTilla İlçe, Huri
dc.contributor.authorCeran Özcan, Canan
dc.contributor.authorİlçe, Zekeriya
dc.date.accessioned2017-08-16T08:06:08Z
dc.date.available2017-08-16T08:06:08Z
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 Pylori, 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.citationYıldız, T. Tilla İlçe, H. Ceran Özcan, C. İlçe, Z. (2014). Simple suture for perforated peptic ulcer followed by helicobacter pylori eradication in children. Pakistan Journal of Medical Sciences. 30,3; 493-496.en_US
dc.identifier.doi10.12669/pjms.303.4705en_US
dc.identifier.endpage496en_US
dc.identifier.issn1681-715X
dc.identifier.issue3en_US
dc.identifier.startpage493en_US
dc.identifier.urihttp://pjms.com.pk/index.php/pjms/article/view/4705
dc.identifier.urihttps://hdl.handle.net/11616/7585
dc.identifier.volume30en_US
dc.language.isoenen_US
dc.publisherPakistan Journal of Medical Sciencesen_US
dc.relation.ispartofPakistan Journal of Medical Sciencesen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChildrenen_US
dc.subjectPeptic ulceren_US
dc.subjectPerforationen_US
dc.subjectSimple closureen_US
dc.titleSimple suture for perforated peptic ulcer followed by helicobacter pylori eradication in childrenen_US
dc.typeArticleen_US

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