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

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
ID Serval
serval:BIB_52698F11FBB5
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Combined laparoscopic-endoscopic method using an omental plug for therapy of gastroduodenal ulcer perforation.
Périodique
Gastrointestinal endoscopy
Auteur⸱e⸱s
Pescatore P., Halkic N., Calmes J.M., Blum A., Gillet M.
ISSN
0016-5107
Statut éditorial
Publié
Date de publication
1998
Peer-reviewed
Oui
Volume
48
Numéro
4
Pages
411-4
Langue
anglais
Notes
Publication types: Journal Article - Publication Status: ppublish
Résumé
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.
Mots-clé
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
Open Access
Oui
Création de la notice
18/02/2008 13:30
Dernière modification de la notice
06/04/2023 6:10
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