Combined laparoscopic-endoscopic method using an omental plug for therapy of gastroduodenal ulcer perforation.

Details

Serval ID
serval:BIB_52698F11FBB5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Combined laparoscopic-endoscopic method using an omental plug for therapy of gastroduodenal ulcer perforation.
Journal
Gastrointestinal endoscopy
Author(s)
Pescatore P., Halkic N., Calmes J.M., Blum A., Gillet M.
ISSN
0016-5107
Publication state
Published
Issued date
1998
Peer-reviewed
Oui
Volume
48
Number
4
Pages
411-4
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
BACKGROUND: Laparoscopic techniques have been proposed as an alternative to open surgery for therapy of peptic ulcer perforation. They provide better postoperative comfort and absence of parietal complications, but leakage occurs in 5% of cases. We describe a new method combining laparoscopy and endoluminal endoscopy, designed to ensure complete closure of the perforation. METHODS: Six patients with anterior ulcer perforations (4 duodenal, 2 gastric) underwent a concomitant laparoscopy and endoluminal endoscopy with closure of the orifice by an omental plug attracted into the digestive tract. RESULTS: All perforations were sealed. The mean operating time was 72 minutes. The mean hospital stay was 5.5 days. There was no morbidity and no mortality. At the 30-day evaluation all ulcers but one (due to Helicobacter pylori persistence) were healed. CONCLUSIONS: This method is safe and effective. Its advantages compared with open surgery or laparoscopic patching as well as its cost-effectiveness should be studied in prospective randomized trials.
Keywords
Adult, Drug Therapy, Combination, Duodenal Ulcer, Endoscopy, Female, Helicobacter Infections, Helicobacter pylori, Humans, Laparoscopy, Length of Stay, Male, Omentum, Peptic Ulcer Perforation, Stomach Ulcer, Time Factors
Pubmed
Web of science
Create date
18/02/2008 13:30
Last modification date
20/08/2019 14:07
Usage data