Perforated duodenal ulcer gram patch

Surgeons who perform the Graham patch, also called omentum patch, make an incision through the stomach to gain access to the perforated duodenum. Any acid that leaked into the abdominal cavity is suctioned out. Once the physician finds the damaged section of intestine, he or she threads pieces of suture material through each end of the opening.

A Graham patch goes over the perforated area before the untied sutures are brought over the patch and tied. This technique seals the hole to prevent digestive acids and bacteria from leaking into the abdomen. The duodenum represents the first section of small intestine leading from the stomach. This wide section of the digestive system, shaped like a horseshoe, contains acids that break down food for use as nutrients by the human body.

This study was planned to analyse risk factors if any, which could predict releak following duodenal ulcer perforation closure and to ascertain the contribution of releak towards ultimate outcome. Methods: A prospective study was undertaken between September and August including all patients undergoing surgery for perforated duodenal ulcer. All patients underwent a Graham's patch closure and were put on parenteral H2 antagonists and antibiotics postoperatively. Patients with releak were included in case group 9 , and those without releak were included in control group Irvin TT.

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