Peritonite par perforation dulcere gastro duodenal 2 youtube. Perforation must be sealed acute ulcer, or chronic ulcer in highrisk patient operate if deteriorate or no improvement in 12 hours berne et al. Observed adverse operative risk factors included prolonged perforation 24 hours, preexisting chronic medical illnesses, and preoperative hypotension. The gastric antrum was the seat of the perforation in 68. A sign of a perforated ulcer is sudden, severe abdominal pain. Diagnostic dun ulcere duodenal perfore pdf paperity. Eleven cases of chronic duodenal ulcer in children were subjected to surgical treatment in a period of 7 years. Food and acid in the duodenum then leak into the abdominal cavity. Ppt ulcere gastro duodenal powerpoint presentation.
When the hole is in the stomach or early part of the small intestine the onset of pain is typically sudden while with a. Late results of simple suture in acute perforation of duodenal ulcer. Levine and gordon4 described a case of complete biliary ob struction complicating duodenal ulcer. Sunhome dakar 100%bio 77 153 70 57 7 photos productservice. Ulcere gastrique, ulcere duodenal, perforation, hemorragie gastrique, stenose peptique. Au mali, coulibaly i s 1 dans une etude realisee en 2005 dans les. Jan 07, 2020 background peptic ulcer disease is common with a lifetime prevalence in the general population of 510% and an incidence of 0. Diagnostic dun ulcere duodenal perfore diagnosis of a perforated duodenal ulcer 0 1 l.
Whilst they may technically appear anywhere in the gastrointestinal tract, they are most often located on the lesser curvature of the proximal stomach or the first part of the duodenum. The surgical procedure used is reported in table 5. Acute perforation of a duodenal ulcer is a calamity that demands prompt surgical treatment. Management of perforated gastric and duodenal ulcers. Lulcere gastroduodenal est une plaie ou une lesion trouvee dans nimporte quelle partie du tube digestif qui contient des sucs gastriques concentres.
European scientific journal september 2016 edition vol. A strategy for the management of perforated duodenal and gastric ulcers, applicable to a nonselected population, is proposed in reference to the. For symptomatic patients, peptic ulcers can present with epigastric or retrosternal pain, nausea, bloating, postprandial discomfort, or early satiety less commonly, patients may present with complications of their peptic ulcer disease, such as bleeding, perforation, or gastric outlet obstruction. Despite a sharp reduction in incidence and rates of hospital admission and mortality over the past 30 years, complications are still encountered in 1020% of these patients. An ulcer in the stomach is called a gastric ulcer, while one in the first part of the intestines is a duodenal ulcer.
Patients with a perforation of the gastrointestinal tract need fast confirmation of diagnosis and early treatment to improve outcome. L ulcere duodenale est plus frequent chez lhomme sexe ratio 3. Perforation of the ulcer was followed by immediate release of the obstruction and gradual disappearance of jaundice. The material is derived from 1,200 personally treated patients. Peritonite par perforation dulcere gastroduodenal universite cadi. Gastrointestinal perforation, also known as ruptured bowel, is a hole in the wall of part of the gastrointestinal tract. Three cases of duodenal ulcer perforation in infants were diagnosed at laparotomy for peritonitis with. In addition, significant peritoneal contamination at celiotomy, major resection gastrectomy, and gastric perforations were noted to be associated with a poor outcome. The diagnosis was based on typical peptic ulcer symptoms, hyperchlorhydria, and barium meal xray studies delineating a duodenal bulb deformity with an ulcer crater in 8 patients. Peritonite generalisee par perforation ulcere gastroduodenal. Longterm followup shows that 70% of the patients with a perforated duodenal ulcer and without any antiinflammatory drug past history at the time of the perforation are free from any symptom. Physiopathologie des ulceres gastroduodenaux chroniques dr m.
Montravers p, dupont h, leone m, et al 2015 management of. Ppt ulcere gastro duodenal powerpoint presentation free. The most common symptoms of a duodenal ulcer are waking at night with upper abdominal pain and upper abdominal pain that improves. Perforations of gastroduodenal ulcers in the surgery. The purpose of this study was to investigate the clinical and therapeutic aspects of peritonitis by perforation of gastric and duodenal ulcer. For this reason surgeons have shown it the greatest consideration. An ulcer can go through all the layers of the digestive tract and form a hole perforation. This usually causes severe pain and is a medical emergency. Syndrome ulcereux, syndrome dyspeptique, hemorragies digestive, perforation. Expose its epidemiological, diagnostic and therapeutic aspects. Symptoms include severe abdominal pain and tenderness. This was a retrospective and descriptive study over 8 years 20102018 which allowed to collect 54 cases of peptic ulcer. Sacko and others published perforations of gastroduodenal ulcers in the surgery department a at the university hospital point g bamako find, read and cite all the. Sunhome dakar 100%bio 77 153 70 57 7 photos product.
A peptic ulcer is an open sore in the stomach lining or the upper part of the small intestine duodenum. Helical ct examination is usually more sensitive in the was duodenal, in 52 35. Multiple treatments of choices available for perforation peritonitis like conservative, endoscopic, laparoscopic, and surgical management. Complications des ulceres gastroduodenaux cours, examens et. Diagnosis of perforated gastric ulcers by ultrasound. Les perforations dulcere gastroduodenal au centre national. Diagnosis and treatment of perforated or bleeding peptic.
Pdf perforations of gastroduodenal ulcers in the surgery. Traitement chirurgical des complications des ulceres. Peptic ulcer disease remains a significant healthcare problem, which can. Peptic ulcer disease pud is a break in the inner lining of the stomach, the first part of the small intestine, or sometimes the lower esophagus. The ulcer goes right through perforates the wall of the first part of the small intestine duodenum. Duodenal or gastric ulcer perforations constitute a medical and surgical emergency. A free powerpoint ppt presentation displayed as a flash slide show on id. Plain abdominal xray does not always prove the perforation particularly at early stage. The postoperative mortality of patients with asbo is from 6. The gastrointestinal tract includes the esophagus, stomach, small intestine, and large intestine. About a retrospective study from january 1st 2006 to march 31st, 2012 in visceral surgery at cnhu of cotonou, records of 86 cases of duodenal or gastric ulcer perforation were analyzed.
Une chirurgie est alors necessaire pour refermer louverture. Peptic ulcer disease gastric duodenal teachmesurgery. A study of risk factors, early evaluation and management. A peptic ulcer is a break in the lining of the stomach, extending through the muscularis mucosae to the deeper layers of the bowel wall. We report about a 62 yearold woman complaining of consistent abdominal pain. In this monograph gatellier and moutier present to the medical profession their experiences with the therapeutics for gastroduodenal ulcer. Les perforations des ulceres gastroduodenaux au centre. This report evaluates the presentation, diagnosis, management, and outcome of this acute surgical condition. The responsibility of the physician who first sees a patient following perforation is grave. Neanmoins, des complications pouvant mettre en jeu le pronostic vital peuvent survenir, a savoir une hemorragie digestive haute, une perforation ou une stenose. A hole develops in the lining of the stomach or small intestine and causes an infection.
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