Perforated Peptic Ulcer-Current Management: A Narrative Review
Kumar H. R. *
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
Soma M.
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
Saw M. O.
Department of Surgery, School of Medicine, Faculty of Health and Medical Science, Taylor University, 47500 Subang Jaya, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Perforated peptic ulcer is a complication of peptic ulcer disease with its incidence being stable despite the introduction of proton pump inhibitors. This condition is seen in older patients with comorbidities and early diagnosis improves the mortality of this condition. The treatment of perforated peptic ulcer is performed by closure of the perforated peptic ulcer, and this procedure can be performed by open or laparoscopic surgery. The current trend over the last few years has been the use of laparoscopic surgery in the management of perforated peptic ulcer and we have conducted this narrative review article to investigate the current trend in management of this condition.
Keywords: Perforated peptic ulcer, perforated duodenal ulcer, laparoscopic surgery, open surgery, helicobacter pylori