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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5168454/ https://www.ncbi.nlm.nih.gov/pubmed/28050305 http://dx.doi.org/10.1155/2016/4681989 |
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author | Vashistha, Nitin Singhal, Dinesh Makkar, Gurpreet Chakravarty, Suneel Raj, Vivek |
author_facet | Vashistha, Nitin Singhal, Dinesh Makkar, Gurpreet Chakravarty, Suneel Raj, Vivek |
author_sort | Vashistha, Nitin |
collection | PubMed |
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 | Online Article Text |
id | pubmed-5168454 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-51684542017-01-03 Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature Vashistha, Nitin Singhal, Dinesh Makkar, Gurpreet Chakravarty, Suneel Raj, Vivek Case Rep Surg Case Report 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. Hindawi Publishing Corporation 2016 2016-12-06 /pmc/articles/PMC5168454/ /pubmed/28050305 http://dx.doi.org/10.1155/2016/4681989 Text en Copyright © 2016 Nitin Vashistha et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Vashistha, Nitin Singhal, Dinesh Makkar, Gurpreet Chakravarty, Suneel Raj, Vivek Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature |
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 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5168454/ https://www.ncbi.nlm.nih.gov/pubmed/28050305 http://dx.doi.org/10.1155/2016/4681989 |
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