[Surgical treatment of 170 cases of perforation of benign gastroduodenal ulcer: experience at the "A. Cardelli" Emergency Department of Naples].

From January 1995 to December 1997, 170 patients with perforation of benign peptic ulcer (89 of them with perforation of iuxtapiloric ulcer, 54 duodenal and 27 gastric) were operated at A. Cardarelli's Emergence Department in Naples. Totally 153 repairs, 11 gastric or gastroduodenal resections, 4 ulcer excisions, 1 fundoplicatio and 1 transduodenal drainage were made. The last one was the only case of mortality. In 3 patients only dehiscence of the repair was registered (1.9% of complications). To reduce the risk of underevaluation of gastric neoplastic lesion or refractory ulcer to medical treatment, it's necessary to associate the repair with endoscopic follow-up and postoperative accurate medical therapy. So it's possible to obtain good results.