Prognostic Factors in Peptic Ulcer Perforations: A Retrospective 14-Year Study

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dc.contributor.authorUnver, Mutlu
dc.contributor.authorFirat, Ozgur
dc.contributor.authorUnalp, Omer Vedat
dc.contributor.authorUguz, Alper
dc.contributor.authorGumus, Tufan
dc.contributor.authorSezer, Taylan Ozgur
dc.contributor.authorOzturk, Safak
dc.contributor.authorYoldas, Tayfun
dc.contributor.authorErsin, Sinan
dc.contributor.authorGuler, Adem
dc.date.accessioned2019-10-27T23:00:43Z
dc.date.available2019-10-27T23:00:43Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractRegarding the complications of peptic ulcer, a perforation remains the most important fatal complication. The aim of our retrospective study was to determine relations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. In total, 239 patients who underwent emergency surgery for perforated peptic ulcer in Ege University General Surgery Department, between June 1999 and May 2013 were included in this study. The clinical data concerning the patient characteristics, operative methods, and complications were collected retrospectively. One hundred seventy-five of the 239 patients were male (73.2%) and 64 were female (26.8%). Mean American Society of Anesthesiologists (ASA) score was 1 in the patients without morbidity, but mean ASA score was 3 in the morbidity and mortality groups. Primary suture and omentoplasty was the selected procedure in 228 of the patients. Eleven patients underwent resection. In total, 105 patients (43.9%) had comorbidities. Thirty-seven patients (67.3%) in the morbidity group had comorbid diseases. Thirteen (92.9%) patients in the mortality group had comorbid diseases. Perforation as a complication of peptic ulcer disease still remains among the frequent indications of urgent abdominal surgery. Among the analyzed parameters, age, ASA score, and having comorbid disease were found to have an effect on both mortality and morbidity. The controversial subject in the present study is regarding the duration of symptoms. The duration of symptoms had no effect on mortality nor morbidity in our study.en_US
dc.identifier.doi10.9738/INTSURG-D-14-00187.1en_US
dc.identifier.endpage948en_US
dc.identifier.issn0020-8868
dc.identifier.issue5en_US
dc.identifier.pmid26011220en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage942en_US
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-14-00187.1
dc.identifier.urihttps://hdl.handle.net/11454/52050
dc.identifier.volume100en_US
dc.identifier.wosWOS:000355193300029en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt College Of Surgeonsen_US
dc.relation.ispartofInternational Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPeptic ulceren_US
dc.subjectPrognosticen_US
dc.subjectPerforationen_US
dc.titlePrognostic Factors in Peptic Ulcer Perforations: A Retrospective 14-Year Studyen_US
dc.typeArticleen_US

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