TITLE:
Perforations of Gastro-Duodenal Ulcers in the Surgery Department “A” at the University Hospital Point G Bamako
AUTHORS:
O. Sacko, S. Diallo, L. Soumaré, M. Camara, S. Koumaré, M. Sissoko, S. Keita, Carol , D. Dakouo, M. Coulibaly, M. Traoré, G. Soumaré, A. F. Traoré, H. Dicko, Y. Dianessi, B. Traoré, A. Koita, Sanogo Zimogo
KEYWORDS:
Perforated Gastric or Duodenal Ulcer, Peritonitis, Surgery
JOURNAL NAME:
Surgical Science,
Vol.10 No.8,
August
8,
2019
ABSTRACT: The purpose of this study was to investigate the clinical and therapeutic aspects
of peritonitis by perforation of gastric and duodenal ulcer. This was a
retrospective and descriptive study over 8 years (2010-2018) which allowed to
collect 54 cases of peptic ulcer. Included in the study were all patients with
confirmed gastroduodenal perforation on histology or laparotomy. We collected
54 cases of peptic ulcer perforated s. The age group of 30 - 49 years was
the majority. The male sex was dominant with 90.7% of cases; the clinical
picture was dominated by abdominal contracture associated with pain in
74.07% of cases. X-ray of the abdomen without preparation (AWP) revealed
in 87.03% of cases of pneumoperitoneum. The perforation was in 68.52% of
cases on the gastric antrum and in 31.48% on the duodenum. The surgical
procedure used was the bank of excision, and a suture reinforcement epiploic
in 68.52% of cases, a simple suture made in 31.48% of cases, the disease was
marked by a fistula (1.90%) and mortality was 5.55% of cases. The gastroduodenal
ulcer perforation is potentially serious and responsible peritonitis
whose surgical treatment involves the peritoneal toilet and sutures the puncture.