Bassey, E.

Obogo, E.

SocioEconomic Challenges Journal (Sumy State University)

PERFORATED DUODENAL ULCERS ASSOCIATED WITH OTHER 
COMPLICATIONS OF PEPTIC ULCER DISEASE 
Obogo Emmanuel, Bassey Emeny, 6
th
-year students 
Scientific supervisor - associate professor A. L. Sytnik 
Sumy State University, chair of surgery and pediatric surgery with course of oncology 
 
521 patients with perforated duodenal ulcer were observed. Ulcers were classificated according to their 
spreading: local (one wall of duodenum, in 403 or 77,4% patients); sectoral (lesion of 2 – 3  wall of duodenum, in 32 or 
6,1% patients); circular (in 9 or 1,7% patients) and  multiply  (in 77 or 14,8% patients). 
Penetration was the most frequent complication accompanying with perforation – in 57 (10,9%) patients. It 
was associated with hemorrhage or stenosis in 22 (4,2%) patients. The frequency of accompanying with perforation 
complications was depended from spreading and size of ulcer defect. Under local ulcers it revealed in 7,9% 
observations, sectoral ulcers - 81,3%,  multiply ulcers – 26,0%,  circular ulcers – 100%. 
Local perforated duodenal ulcers accompanied with stenosis (17), penetration (11) and hemorrhage (4). 
Sectoral perforated duodenal ulcers observed in combinations with penetration and hemorrhage (11) or penetration and 
stenosis (2). Circular perforated duodenal ulcers associated with stenosis and penetration (5), stenosis and hemorrhage 
(1), stenosis, penetration and hemorrhage (3). 
In 1 patient with multiply ulcers we have observed perforations of two ulcerssimultaneously.   
Penetration of ulcer of back duodenal wall in  pancreas was revealed in 11 patients, hemorrhage from ulcer of 
back duodenal wall – in 6, stenosis – in 1, penetration of ulcer of back duodenal wall and hemorrhage –in 1. 
 
 


Perforated duodenal ulcers associated with other complications of peptic ulcer disease

Electronic Sumy State University Institutional Repository

PERFORATED DUODENAL ULCERS ASSOCIATED WITH OTHER COMPLICATIONS OF PEPTIC ULCER DISEASE Obogo Emmanuel, Bassey Emeny, 6th-year students Scientific supervisor - associate professor A. L. Sytnik Sumy State University, chair of surgery and pediatric surgery with course of oncology  521 patients with perforated duodenal ulcer were observed. Ulcers were classificated according to their spreading: local (one wall of duodenum, in 403 or 77,4% patients); sectoral (lesion of 2 – 3  wall of duodenum, in 32 or 6,1% patients); circular (in 9 or 1,7% patients) and  multiply  (in 77 or 14,8% patients). Penetration was the most frequent complication accompanying with perforation – in 57 (10,9%) patients. It was associated with hemorrhage or stenosis in 22 (4,2%) patients. The frequency of accompanying with perforation complications was depended from spreading and size of ulcer defect. Under local ulcers it revealed in 7,9% observations, sectoral ulcers - 81,3%,  multiply ulcers – 26,0%,  circular ulcers – 100%. Local perforated duodenal ulcers accompanied with stenosis (17), penetration (11) and hemorrhage (4). Sectoral perforated duodenal ulcers observed in combinations with penetration and hemorrhage (11) or penetration and stenosis (2). Circular perforated duodenal ulcers associated with stenosis and penetration (5), stenosis and hemorrhage (1), stenosis, penetration and hemorrhage (3). In 1 patient with multiply ulcers we have observed perforations of two ulcerssimultaneously.   Penetration of ulcer of back duodenal wall in  pancreas was revealed in 11 patients, hemorrhage from ulcer of back duodenal wall – in 6, stenosis – in 1, penetration of ulcer of back duodenal wall and hemorrhage –in 1.   

https://essuir.sumdu.edu.ua/bitstream/123456789/27515/1/Obogo.pdf

Perforated duodenal ulcers associated with other complications of peptic ulcer disease

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SocioEconomic Challenges Journal (Sumy State University)

Electronic Sumy State University Institutional Repository