Articles Vol. 65 No. 4 10/06/2024

30. EVALUATION OF ENDOSCOPIC SURGERY FOR SUTURING PERFORATED DUODENAL BULB ULCER AT E HOSPITAL FROM 1/2018 TO 12/2022

Nguyen Huu Sam1,2, Do Truong s3,4,5,6
1 Dại Nam University
2 Trường đại học Đại Nam
3 E Hospital
4 Hanoi Medical University
5 Bệnh viện E
6 Trường đại học Y Hà Nội
Corresponding author: samng@dainam.edu.vn
DOI: 10.52163/yhc.v65i4.1219
21 Views
15 Downloads
Keywords
Perforated duodenal ulcer; Endoscopic surgery.
Abstract

Objective: The aim of this study was to assess the outcomes of endoscopic surgery for suturing
perforated duodenal bulb ulcers at E Hospital from January 2018 to December 2022.

Research Method: A retrospective study was conducted on 122 patients with perforated duodenal
bulb ulcers who underwent endoscopic suturing at the Department of Gastrointestinal Surgery and
General Surgery, E Hospital , from January 2018 to December 2022

Results: All cases involved a single anterior duodenal bulb perforation. The success rate of
endoscopic suturing for duodenal bulb perforated ulcers was 121 out of 122 cases, with one case
requiring conversion to open surgery. The average surgical duration was 77.55 ± 28.5 minutes, and
no intraoperative complications were recorded. Postoperative pain was low, as evidenced by the
use of pain medication for an average of 2.7 ± 1.8 days. The average time for resumption of bowel
movements was 3.42 ± 1.71 days. There were no cases of gastric output exceeding 500ml per day,
and abdominal drainage was removed after 6.1 ± 2.5 days. 89.4% of patients had follow-up
appointments scheduled for one year after surgery, and 12.3% experienced mild epigastric
discomfort. Late complications included hypertrophic scars (2 cases), stenosis at the anastomotic
site (1 case), recurrent perforation (1 case), and recurrent ulceration at the suture site (5 cases).

Conclusion: Endoscopic surgery for suturing perforated duodenal bulb ulcers offers several
benefits for patients. It is associated with a shorter treatment duration, reduced postoperative pain,
low complication rates, and low mortality rates.

References
[1]
Stern E, Sugumar K, Journey JD, Peptic Ulcer Google Scholar
[2]
Perforated. [Updated 2023 Jun 12]. In: Google Scholar
[3]
StatPearls [Internet]. Treasure Island (FL): Google Scholar
[4]
StatPearls Publishing; 2024. Google Scholar
[5]
Boey J, Choi SKY, Alagaratnam TT et al., Risk Google Scholar
[6]
Stratification in Perforated Duodenal Ulcers: A Google Scholar
[7]
Prospective Validation of Predictive Factors. Google Scholar
[8]
Ann Surg, 1987, 205(1), 22-26. Google Scholar
[9]
Sartelli M et al., World J Emerg Surg. Google Scholar
[10]
;15:27. Google Scholar
[11]
Hữu Hoài Anh, Đánh giá kết quả ứng dụng phẫu Google Scholar
[12]
thuật nội soi tại Bệnh viện E, Y học thực hành; Google Scholar
[13]
;579,580:293-297 Google Scholar
[14]
Nathanson LK et al. Gastrointest Endosc. Google Scholar
[15]
;36(2):235-238. Google Scholar
[16]
Phạm Đức Huấn, Nguyễn Hoàng, Thủng ổ loét Google Scholar
[17]
dạ dày tá tràng. Bài giảng bệnh học Ngoại khoa Google Scholar
[18]
dùng cho sinh viên năm thứ tư, Bộ môn Ngoại Google Scholar
[19]
trường Đại học Y Hà Nội, Nhà xuất bản y học, Google Scholar
[20]
(30-39) Google Scholar
[21]
A Tarasconi, F Coccolini, WL Biffl et al., Google Scholar
[22]
Perforated and bleeding peptic ulcer: WSES Google Scholar
[23]
guidelines. World J Emerg Surg; 2020, 15: 3. Google Scholar
[24]
Bertleff, Marietta, Johan F. Lange, Perforated Google Scholar
[25]
Peptic Ulcer Disease: A Review of History and Google Scholar
[26]
Treatment. Digestive Surgery 27 (2010): 161 - 169. Google Scholar
[27]
Đặng Quốc Ái, Kết quả phẫu thuật nội soi khâu Google Scholar
[28]
lỗ thủng ổ loét hành tá tràng tại bệnh viện Đại Google Scholar
[29]
học Y Hà Nội. Tạp chí Y học Việt Nam, 2020, Google Scholar
[30]
, 268 - 271 Google Scholar
[31]
Trần Mạnh Cường, Đánh giá kết quả phẫu thuật Google Scholar
[32]
nội soi điều trị thủng ổ loét hành tá tràng tại BV Google Scholar
[33]
Bạch Mai từ năm 2013-2018. Luận án thạc sỹ y Google Scholar
[34]
học, Đại học Y Hà Nội, 2018. Google Scholar
[35]
Trần Mạnh Hùng, Trần Hiếu Học, Trần Quế Google Scholar
[36]
Sơn, Kết quả phẫu thuật nội soi khâu lỗ thủng ổ Google Scholar
[37]
loét hành tá tràng tại Bệnh viện Bạch Mai giai Google Scholar
[38]
đoạn 2019-2020, Tạp chí Y học Việt Nam, Tập Google Scholar
[39]
số 2, 2021. Google Scholar