Management of Giant Gastric Ulcer Perforation: Report of a Case and Review of the Literature

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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Main Authors: Nitin Vashistha, Dinesh Singhal, Gurpreet Makkar, Suneel Chakravarty, Vivek Raj
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2016/4681989
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spelling doaj-b138315afd924308a7fc8d3b63fce83a2020-11-24T22:39:15ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Nitin Vashistha
Dinesh Singhal
Gurpreet Makkar
Suneel Chakravarty
Vivek Raj
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
author_facet Nitin Vashistha
Dinesh Singhal
Gurpreet Makkar
Suneel Chakravarty
Vivek Raj
author_sort Nitin Vashistha
title 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_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_sort management of giant gastric ulcer perforation: report of a case and review of the literature
publisher Hindawi Limited
series Case Reports in Surgery
issn 2090-6900
2090-6919
publishDate 2016-01-01
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.
url http://dx.doi.org/10.1155/2016/4681989
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AT dineshsinghal managementofgiantgastriculcerperforationreportofacaseandreviewoftheliterature
AT gurpreetmakkar managementofgiantgastriculcerperforationreportofacaseandreviewoftheliterature
AT suneelchakravarty managementofgiantgastriculcerperforationreportofacaseandreviewoftheliterature
AT vivekraj managementofgiantgastriculcerperforationreportofacaseandreviewoftheliterature
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