Authors: Stephen Dunn Thomas R Weber Jay L Grosfeld Joseph R Fitzgerald
Publish Date: 1983/05/01
Volume: 118, Issue: 5, Pages: 656-660
Abstract
• Acute peptic ulcers occurred in 39 infants and children 22 girls and 17 boys Eleven patients were less than one year of age Peptic ulcers were secondary to systemic disease or ulcerogenic medications in 34 cases Hemorrhage occurred in 27 patients perforation in 12 Endoscopy was the most useful diagnostic procedure for hemorrhage Free air was seen on abdominal roentgenogram in all perforated patients Ligation of the ulcer bed vagotomy and pyloroplasty were performed in 25 patients with bleeding One patient required total gastrectomy Simple plication was performed in nine patients with perforation Plication was combined with pyloroplasty and tube duodenostomy in one patient each and vagotomy and antrectomy were required in one patient Operative mortality was 52 There were two late deaths Reyes syndrome and burn sepsis No ulcer has recurred
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