Meta Analysis of Laparoscopic versus Open Repair for Perforated Peptic Ulcer
Mohamed Alsadeq Ahmed Alsadeq;
Abstract
The stomach is the most dilated part of the digestive tube. It is situated between the end of the esophagus and the duodenum.
The length of the duodenum is approximately 20-30 cm. The duodenum is divided into four parts:
The first (or superior) portion, the second (or vertical or descending portion); the third (or horizontal or transverse) portion; and the fourth (or oblique or ascending) portion.
duodenual ulcer occur most often in the first portion of duodenum (>95%), with ~90% located within 3 cm of the pylorus. They are usually 1 cm in diameter but can occasionally reach 3-6 cm (giant ulcer). Hellicobacter Pylori (H. pylori) and NSAID induced injury account for the majority of DUs. Many acid secretory abnormalities have been described in DU patients. H. pylori infection is virtually always associated with a chronic active gastritis. NSAIDs interruption of prostaglandin synthesis can impair mucosal defense and repair, thus facilitating mucosal injury.
Abdominal pain is common to many (GI) gastrointestinal disorders, including DU and GU, but has a poor predictive value for the presence of either DU or GU. Epigastric tenderness is the most frequent finding in patients with GU or DU.
Several additional disease processes that may present
The length of the duodenum is approximately 20-30 cm. The duodenum is divided into four parts:
The first (or superior) portion, the second (or vertical or descending portion); the third (or horizontal or transverse) portion; and the fourth (or oblique or ascending) portion.
duodenual ulcer occur most often in the first portion of duodenum (>95%), with ~90% located within 3 cm of the pylorus. They are usually 1 cm in diameter but can occasionally reach 3-6 cm (giant ulcer). Hellicobacter Pylori (H. pylori) and NSAID induced injury account for the majority of DUs. Many acid secretory abnormalities have been described in DU patients. H. pylori infection is virtually always associated with a chronic active gastritis. NSAIDs interruption of prostaglandin synthesis can impair mucosal defense and repair, thus facilitating mucosal injury.
Abdominal pain is common to many (GI) gastrointestinal disorders, including DU and GU, but has a poor predictive value for the presence of either DU or GU. Epigastric tenderness is the most frequent finding in patients with GU or DU.
Several additional disease processes that may present
Other data
| Title | Meta Analysis of Laparoscopic versus Open Repair for Perforated Peptic Ulcer | Other Titles | مقارنة تحليلية بين اصلاح قرحة المعده المنفجرة بالمنظار وبالفتح الجراحي | Authors | Mohamed Alsadeq Ahmed Alsadeq | Issue Date | 2017 |
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