Laparoscopic simple closure for perforated duodenal ulcer in young adults

Abstract

Objective: Peptic ulcer perforation is one of the most common perforations of the gastrointestinal tract, and this complication of peptic ulcer is traditionally surgically treated. In recent years, a number of papers show a shift for perforation incidence from older to the younger population in developing countries. The aim of this study is to present the outcome of laparoscopic simple closure for perforated duodenal ulcer in young adults.
Materials and Methods: Laparoscopic simple closure performs in 17 young patients (21–36 years) admitted as perforated duodenal ulcer from January 2014 to December 2016. Prospective analyses carry out of patient demographics, presentation, and clinical outcome.
Results: This study consists of 17 patients between 21 and 36 years of age (mean of 26.9 years), and only 3 (17.6%) were females. Pain was the consistent symptom in all patients, while guarding was the signs present in all. No patients presented as shock but tachycardia noticed in those presented late. Pneumoperitoneum was found in all abdominal computed tomography scans. All underwent laparoscopic simple repair, and the mean post-operative follow-up was 15 months (8–34 months), and 13 patients (76%) come for a regular follow-up.
Conclusion: Peptic ulcer perforation is a disease more common in the young population with a male preponderance in developing countries, and laparoscopic simple closure of perforated duodenal ulcer is safe and excellent outcome.