Reassessment of Graham-Steele closure in acute perforated peptic ulcer.

Abstract:

:We studied 67 patients who had operation for perforated peptic ulcer. Operative treatment included plication with omentum (Graham closure) in 27 patients, vagotomy and pyloroplasty in 32 patients, or vagotomy and antrectomy in eight patients, depending on antecedent ulcer history, degree of contamination, and general patient condition. Mortality was high with simple closure in patients with long-standing perforation or associated disease. Early complications associated with Graham closure included rebleeding, perforation, and obstruction. There were no deaths or major complications related to vagotomy and pyloroplasty. In selected patients, definitive operation is safe and produces excellent long-term results.

journal_name

South Med J

journal_title

Southern medical journal

authors

Fallat ME,White MJ,Richardson JD,Flint LM

doi

10.1097/00007611-198310000-00006

subject

Has Abstract

pub_date

1983-10-01 00:00:00

pages

1222-4

issue

10

eissn

0038-4348

issn

1541-8243

journal_volume

76

pub_type

杂志文章
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    doi:

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