Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature
Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and sym...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2016/4681989 |
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| author | Nitin Vashistha Dinesh Singhal Gurpreet Makkar Suneel Chakravarty Vivek Raj |
| author_facet | Nitin Vashistha Dinesh Singhal Gurpreet Makkar Suneel Chakravarty Vivek Raj |
| author_sort | Nitin Vashistha |
| collection | DOAJ |
| description | Giant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed. |
| format | Article |
| id | doaj-art-b138315afd924308a7fc8d3b63fce83a |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-b138315afd924308a7fc8d3b63fce83a2025-02-03T01:30:32ZengWileyCase Reports in Surgery2090-69002090-69192016-01-01201610.1155/2016/46819894681989Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the LiteratureNitin Vashistha0Dinesh Singhal1Gurpreet Makkar2Suneel Chakravarty3Vivek Raj4Department of Surgical Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110017, IndiaDepartment of Surgical Gastroenterology, Max Super Speciality Hospital, Saket, New Delhi 110017, IndiaDepartment of Radiology, Max Super Speciality Hospital, Saket, New Delhi 110017, IndiaDepartment of Gastroenterology & Hepatology, Max Super Speciality Hospital, Saket, New Delhi 110017, IndiaDepartment of Gastroenterology & Hepatology, Max Super Speciality Hospital, Saket, New Delhi 110017, IndiaGiant gastric ulcer (GGU) is defined as an ulcer more than 3 cm in diameter. Now infrequent in clinical practice, in the pre-H2 receptor antagonist (H2RA) era, the incidence of GGU varied between 12 and 24% of all gastric ulcers. Proton pump inhibitors reportedly achieve better healing rates and symptom relief in comparison to H2RA. The GGU is associated with high incidence of serious complications such as hemorrhage. A perforated GGU though rare (<2%) offers serious challenges in management. We report one such case wherein the role of multidetector CT scan (MDCT) for diagnosis and treatment planning, surgical options for GGU perforations, and factors affecting outcome are discussed.http://dx.doi.org/10.1155/2016/4681989 |
| spellingShingle | Nitin Vashistha Dinesh Singhal Gurpreet Makkar Suneel Chakravarty Vivek Raj Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature Case Reports in Surgery |
| title | Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
| title_full | Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
| title_fullStr | Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
| title_full_unstemmed | Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
| title_short | Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
| title_sort | management of giant gastric ulcer perforation report of a case and review of the literature |
| url | http://dx.doi.org/10.1155/2016/4681989 |
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