The New Transition Factors to Surgery of Duodenal Perforation

Toho University74 enrolled

Overview

In this study,investigators sought to identify new transition factors in the initial evaluation of cases requiring conversion to surgery for duodenal ulcer perforation. This was a retrospective study performed at investigators' hospital between January 2012 and July 2023 with upper gastrointestinal perforation. 27 patients, who underwent conservative management for the duodenal ulcer perforation, were extracted. Investigators researched the transition rate to surgery and the following factors: 1. Patient background, 2. Time from onset to hospital visit, 3. Vital signs and inflammatory findings on arrival, 4. CT findings of duodenal ulcer perforation and degree / shape of liver coverage for the perforation, and the extent of ascites.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Duodenum Ulcer Perforation

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * patients of upper gastrointestinal perforation Exclusion Criteria: * DNR patients

Outcomes

Primary Outcomes

The rate of conversion to surgery from conservative management for duodenal ulcer perforation.

Th investigators reasearched the transition rate to surgery based on the following factors: 1. Patient background, 2. Time from onset to hospital visit, 3. Vital signs and inflammatory findings on arrival, 4. CT findings of duodenal ulcer perforation and degree / shape of liver coverage for the perforation, and the extent of ascites.