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Date of last update: 10/15/2017.

Forum Name: Gastroenterology Topics

Question: Non-surgical options for perforated ulcer

 michellebalch - Sat Sep 06, 2008 1:44 pm

I have been diagnosed with a perforated ulcer in my duodenum that has self-sealed. Are there any non-surgical options I can select as a treatment regime?
 John Kenyon, CNA - Sat Dec 13, 2008 11:03 pm

User avatar Hello -

While the ulcer has sealed over, as sometimes happens, there is still usually a significant risk of reperforation, and if you didn't develop peritonitis the first time, you almost certainly would during a repeat perforation; Peritonitis is the main problem with perforation, and can be life-threatening. It may, in some cases, be possible to cauterize the lesion via endoscope or, if that's not practical, then to repair the lesion via minimally-invasive laparoscopic surgery. It would depend on many factors known only to the attending physicians, however.

Hopefully, since the perforation sealed itself and you seem to have escaped any major complications, this may be repairable via endoscopic cautery or at least laparoscopic surgery, which would be essentlially an in-and-out procedure.

I hope this is helpful to you. Best of luck and please let us know how things turn out.

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