Keywords
How to Cite
Abstract
Peptic ulcer is a lesion that occurs in the mucosa of the stomach or duodenum, characterized by tissue erosion due to the action of gastric acid and digestive enzymes. Thus, the treatment of perforated peptic ulcers represents a significant challenge in surgical practice due to the need for rapid and effective intervention to prevent serious complications. In recent years, laparoscopic approaches have gained popularity compared to traditional open techniques. Objective: To compare laparoscopic and open surgical approaches in the treatment of perforated peptic ulcers, evaluating the efficacy, safety and clinical results of each technique. Methodology: The Cochrane, Scielo and Pubmed databases were used, searching for articles published between 2020 and 2023, in Portuguese or English. Final Considerations: Laparoscopic surgery offers significant benefits, including reduced postoperative pain, faster recovery, and lower infection rates. However, open surgery remains crucial in cases of patients with hemodynamic instability or complex perforations that make laparoscopic visualization difficult. The decision between the two approaches must be individualized, considering the patient's clinical conditions, the surgeon's experience and available resources, to ensure the best possible recovery and reduce the risk of complications.
References
Arroyo Vázquez, J. A. et al. Stent treatment or surgical closure for perforated duodenal ulcers: a prospective randomized study. Surgical Endoscopy, v. 35, n. 12, p. 7183–7190, 1 dez. 2021.
Castro, R. et al. INTENSIVE CARE UNIT PRESCRIPTIONS MUST FIT RISK FACTORS TO PREVENT STRESS ULCER BLEEDING. ABCD, v. 34, n. 3, 1 jan. 2021.
Chndan, M. N.; Khakholia, M.; Bhuyan, K. Enhanced Recovery after Surgery (ERAS) Versus Standard Care in Patients Undergoing Emergency Surgery for Perforated Peptic Ulcer. Indian Journal of Surgery, 21 abr. 2020.
Cordeiro, H. M. et al. Atualizações sobre o tratamento cirúrgico da Úlcera péptica: Update on the surgical treatment of peptic Ulcer. Brazilian Journal of Health Review, v. 5, n. 5, p. 19904–19920, 28 set. 2022.
Järnbert-Pettersson, H. et al. Is tramadol associated to bleeding peptic ulcer? A nationwide case-control study in hospitalized Swedish patients. PLOS ONE, v. 14, n. 4, p. e0215356, 17 abr. 2019.
Mendes, J. J. et al. Sociedade Portuguesa de Cuidados Intensivos guidelines for stress ulcer prophylaxis in the intensive care unit. Revista Brasileira de Terapia Intensiva, v. 31, n. 1, 2019.
Pinto, D. S. R.; Costa, F. D. A. O papel da videolaparoscopia para o tratamento de úlceras pépticas perfuradas: revisão de literatura. Revista de Medicina da UFC, v. 58, n. 3, p. 68, 28 set. 2018.
Sachan, A. et al. COMPARISON OF NON-ENDOSCOPIC SCORES FOR THE PREDICTION OF OUTCOMES IN PATIENTS OF UPPER GASTROINTESTINAL BLEED IN AN EMERGENCY OF A TERTIARY CARE REFERRAL HOSPITAL: A PROSPECTIVE COHORT STUDY. Arquivos de Gastroenterologia, v. 58, n. 4, p. 534–540, out. 2021.
Santos, Y. DE A. P. DOS et al. Adesão a um protocolo de profilaxia de úlcera de estresse em pacientes críticos: estudo de coorte prospectiva. Revista Brasileira de Terapia Intensiva, v. 32, p. 37–42, 8 maio 2020.
Tulinský, L. et al. Impact of the coronavirus disease 2019 pandemic on the management of acute peptic ulcer perforation: to be reconsidered(?). Revista da Associação Médica Brasileira, v. 69, n. 1, p. 175–180, jan. 2023.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Maria Clara Quatrin Bueno , Roberto Biselo, Regilane Doth Sales , Bruno Eduardo Lara da Silva , Emilly Caroline Lopes, Tarlei Fernandes Cardoso , Gracielle Fernandes Cardoso Mendonça Santos, Allison Gonçalves Silva Dutra Costa , Luigi Alcântara Bacco , Luccas Fernandes Nascimento , José Henrique Beserra, Gustavo Ivankovic Gomes , Stephanie Louise Ribicki Teles
