Aim: To determine the role of simple suturing of perforated duodenal ulcer.

Material And Methods: There were 170 patients with perforated duodenal ulcer. Patients were divided into 2 groups: group 1 - 40 patients who underwent simple closure of the ulcer; group 2 - 130 patients who underwent Judd pyloroplasty with ulcerative defect excision. Abdominal effusion nature and severity of peritonitis were comparable in both groups.

Results: Mortality was significantly higher in group of simple suturing of ulcerative defect.

Conclusion: Simple closure of perforated duodenal ulcers should be discarded.

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http://dx.doi.org/10.17116/hirurgia2018090142DOI Listing

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