CLOSURE OF LARGE SIZED DUODENAL ULCER PERFORATION BY INTRALUMINAL OMENTAL INVAGINATION -A CLINICAL STUDY

Dr. Rituraj; Dr. Anil Kumar

Volume : VIII, Issue : VII, July - 2019

CLOSURE OF LARGE SIZED DUODENAL ULCER PERFORATION BY INTRALUMINAL OMENTAL INVAGINATION -A CLINICAL STUDY

Dr. Rituraj, Dr. Anil Kumar

Abstract :

factors and defects in endogenous defense mechanisms. The modern management of peptic ulcer disease, based on the understandingof the vagal drive for acid secretion. Aims and objectives: In this study we have adopted a different method for closure of large perforation (> 5 mm diameter) by “Omental invagination into the duodenum”. Materials and Methods: Study was carried out in the Upgraded Department of Surgery, Darbhanga Medical College & Hospital, during the period 2014–2017 on 50 patients who presented in the emergency with duodenal Ulcer perforation of more than five mm diameter as assessed intra–operatively. Result: In our study, most common age group was 31–40 years. Majority of patients were male.. Epigastric pain was the most common presenting symptom followed by absolute constipation and abdominal distension. 60.0% of patient had past history of alcohol intake while 50.0% had acid peptic disorder. Gastric outlet obstruction was more in the control group. Conclusion: In the present study we have adopted a different method for closure of large perforation (> 5 mm diameter) by “Omental invagination into the duodenum” as advocated by M.D. Karanjia (Omental Plug Technique); therapy decreasing chances of omental ischaemia and postoperative leakage and compå the results with various standard procedures followed in this hospital for closure of large sized duodenal perforation.