BACKGROUND: Open digestive surgery in cirrhotic patients is associated with high morbidity and mortality. Laparoscopy in this setting has the potential to reduce postoperative complications. Laparoscopic treatment of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension is herein described. METHODS: A 75-year-old woman affected by cirrhosis of the liver (Child class C) and chronic gastric ulcer presented with acute abdominal pain. The diagnosis of perforation was made with plain films of the abdomen and computed tomography. Diagnostic laparoscopy showed intense peritonitis due to a perforated ulcer of the anterior gastric wall, 2 cm proximal to the pylorus. Suture closure and placement of an omental patch were performed laparoscopically. RESULTS: Postoperative recovery was complicated by a minor leak of the gastric suture, managed by total parenteral nutrition. Closure of the gastric wound was demonstrated by Gastrografin studies on the 10th postoperative day. The patient was discharged on the 16th postoperative day. At 3-months follow-up, the patient is alive and free of gastric disease.

Gentileschi, P., Rossi, P., Manzelli, A., Lirosi, F., Susanna, F., Stolfi, V., et al. (2003). Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 7(4), 377-382.

Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report.

GENTILESCHI, PAOLO;ROSSI, PIERO;SPINA, CLAUDIO;GASPARI, ACHILLE
2003-01-01

Abstract

BACKGROUND: Open digestive surgery in cirrhotic patients is associated with high morbidity and mortality. Laparoscopy in this setting has the potential to reduce postoperative complications. Laparoscopic treatment of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension is herein described. METHODS: A 75-year-old woman affected by cirrhosis of the liver (Child class C) and chronic gastric ulcer presented with acute abdominal pain. The diagnosis of perforation was made with plain films of the abdomen and computed tomography. Diagnostic laparoscopy showed intense peritonitis due to a perforated ulcer of the anterior gastric wall, 2 cm proximal to the pylorus. Suture closure and placement of an omental patch were performed laparoscopically. RESULTS: Postoperative recovery was complicated by a minor leak of the gastric suture, managed by total parenteral nutrition. Closure of the gastric wound was demonstrated by Gastrografin studies on the 10th postoperative day. The patient was discharged on the 16th postoperative day. At 3-months follow-up, the patient is alive and free of gastric disease.
2003
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/18 - CHIRURGIA GENERALE
English
abdominal surgery; aged; article; case report; female; human; laparoscopy; liver cirrhosis; methodology; portal hypertension; stomach ulcer; suturing method; treatment outcome; ulcer perforation; Aged; Digestive System Surgical Procedures; Female; Humans; Hypertension, Portal; Laparoscopy; Liver Cirrhosis; Peptic Ulcer Perforation; Stomach Ulcer; Suture Techniques; Treatment Outcome
Gentileschi, P., Rossi, P., Manzelli, A., Lirosi, F., Susanna, F., Stolfi, V., et al. (2003). Laparoscopic suture repair of a perforated gastric ulcer in a severely cirrhotic patient with portal hypertension: first case report. JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, 7(4), 377-382.
Gentileschi, P; Rossi, P; Manzelli, A; Lirosi, F; Susanna, F; Stolfi, V; Spina, C; Gaspari, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/57323
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