PMID- 21061540
OWN - NLM
STAT- MEDLINE
DCOM- 20110120
LR  - 20110727
IS  - 0047-1852 (Print)
IS  - 0047-1852 (Linking)
VI  - 68
IP  - 11
DP  - 2010 Nov
TI  - [Perforated peptic ulcer disease in the elderly].
PG  - 2102-5
AB  - There has been a marked decrease in elective surgery for peptic ulcer disease 
      following introduction of medical therapies including H2-receptor antagonists 
      (H2-RA) and proton pump inhibitors (PPI). By contrast, the incidence of emergency 
      surgery for perforated peptic ulcer(PPU) has remained relatively unchanged, and 
      potentially increased. Conservative treatment of PPU should be selected based on 
      the physical condition of the patient. Open and laparoscopic repair of PPU are 
      made with peritoneal lavage and omental patch closure of perforation. 
      Laparoscopic repair of PPU seems better than open repair for low-risk patients. 
      However, open repair for high-risk patients of PPU should not be delayed, and 
      prognosis is affected primarily by concomitant medical comorbidity in the 
      elderly.
FAU - Kondoh, Yasumasa
AU  - Kondoh Y
AD  - Department of Surgery, Tokai University School of Medicine, Tokyo Hospital.
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PT  - Review
PL  - Japan
TA  - Nihon Rinsho
JT  - Nihon rinsho. Japanese journal of clinical medicine
JID - 0420546
SB  - IM
MH  - Aged
MH  - Humans
MH  - Peptic Ulcer Perforation/surgery/*therapy
EDAT- 2010/11/11 06:00
MHDA- 2011/01/21 06:00
CRDT- 2010/11/11 06:00
PHST- 2010/11/11 06:00 [entrez]
PHST- 2010/11/11 06:00 [pubmed]
PHST- 2011/01/21 06:00 [medline]
PST - ppublish
SO  - Nihon Rinsho. 2010 Nov;68(11):2102-5.