Based on CPT codes, operations were divided into 3 major groups including: simple open suture repair, laparoscopic repairs, and open suture repair open suture repair with omental patch). Only the index operation identified by the current procedural codes (CPT) was included for analysis. This study evaluates the trends and outcomes in management of perforated peptic ulcers. With the increasing adoption of advance laparoscopic techniques, it is uncertain the practice patterns among US surgeons during the last decade. Nevertheless, a portion of patients will require operative intervention for perforated ulcers. Pei 1 1Texas Tech University Health Sciences Center,Surgery,Lubbock, TX, USA 2Yale University School Of Medicine,Surgical Outcomes And Epidemiology,New Haven, CT, USA 3Yale School of Public Health,Environmental Health Sciences,New Haven, CT, USAĭecades after the introduction of acid reducers and the recognition of endemic helicobacter pylori infection as the cause of peptic ulcers, medical management has largely replaced surgical therapy.
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