Factors Influencing Mortality in Spontaneous Gastric Tumour Perforations  

Oleh:

Ozmen, M.M. ; Zulfikaroglu, B. ; Kece, C. ; Aslar, A.K. ; Ozalp, N. ; Koc, M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of International Medical Research vol. 30 no. 02 (Mar. 2002), page 180-184.
Topik: Gastric tumour; perforations

Ketersediaan

Perpustakaan FK Nomor Panggil: J11.K.01-04.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Spontaneous perforation of gastric cancer is a serious complication with a very high incidence of mortality. In order to evaluate the prognostic factors influencing mort­ality in patients with gastric tumour perforations and to clarify the optimal surgical treat­ment, the records of patients at one centre during a 5-year period were evaluated retrospectively. Between 1995 and 2000, 14 patients with perforated gastric cancer were operated on in the Emergency Surgical Unit of a Turkish Hospital. This figure represents 3% of all the patients with gastric cancer who were treated during the same period. The hospital mortality was 36% in patients with perforations. The duration of symptoms suggesting perforation and the pre­sence of pre­-operative shock were predictive factors of mortality. It was concluded that those patients with pre­-operative shock and delayed diagnosis should be treated with extra caution to decrease mortality. Per­foration and peritonitis must be treated initi­ally and elective radical surgery delayed.

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