Risk factors for leak after omentopexy for duodenal ulcer perforations.

Aims: Duodenal ulcer perforations are frequently encountered but there is limited literature regarding risk factors for leak after omentopexy.

Methodology: The record of 100 patients of duodenal ulcer perforation undergoing omentopexy by open approach was prospectively maintained to identify any significant factors contributing towards leak.

Results: Out of 100 patients undergoing omentopexy, 9 (9%) developed leak; when leak occurred, the mortality was very high (44.

Primary mesenteric gastrointestinal stromal tumour with concomitant mesenteric tuberculosis: Careful histopathology is essential.

Gastro-inestinal stromal tumours (GISTs) comprise 1-2% of all gastrointestinal (GI) tumours. The mesentery, retroperitoneum and omentum are common sites of extra-gastrointestinal stromal tumours (E-GISTs). Isolated involvement of the mesentery by tuberculosis (TB) without any evidence of pulmonary disease is quite unusual.

Peritonitis-associated hyperlactatemia for evaluating mortality in secondary peritonitis.

Background: In sepsis, lactate measurements correlate with mortality; however, the role of lactate in predicting mortality in patients of secondary peritonitis is not yet fully established.

Methods: Data were maintained prospectively on 224 patients of secondary peritonitis over a period of 10 years. Arterial lactate measurements were performed twice in each patient - once, initially on admission (AL ) and the other, 24 h after surgery (AL ); from these values, percentage lactate clearance was calculated.