穿孔性潰瘍
WordNet
- a circumscribed inflammatory and often suppurating lesion on the skin or an internal mucous surface resulting in necrosis of tissue (同)ulceration
- having a number or series of holes; "a perforated steel plate"; "perforated cancellation"; "perforated stamp"
PrepTutorEJDIC
- …‘に'穴をあける,‘を'突き通す / 〈紙など〉‘に'ミシン目を入れる,(穴で)切り取り線をつける / (…に)穴をあける,(…を)貫通する《+『into(through)』+『名』》
- 潰瘍
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/10/25 16:05:25」(JST)
[Wiki en表示]
A perforated ulcer, is a condition where an untreated ulcer can burn through the wall of the stomach (or other areas of the gastrointestinal tract), allowing digestive juices and food to leach into the abdominal cavity. Treatment generally requires immediate surgery.[1] The ulcer is known initially as a peptic ulcer before the ulcer burns through the full thickness of the stomach or duodenal wall. A diagnosis is made by taking an erect abdominal/chest X-ray (seeking air under the diaphragm). This is in fact one of the very few occasions in modern times where surgery is undertaken to treat an ulcer.[2] Many of the perforated ulcers have been attributed to the bacterium Helicobacter pylori.[3] The incidence of perforated ulcer is steadily declining, though there are still incidents where it occurs.[4] Causes include smoking and non-steroidal anti-inflammatory drugs (NSAIDs).[4] A perforated ulcer can be grouped into a stercoral perforation which involves a number of different things that causes perforation of the intestine wall.
Notable victims
- Philip Agee (1935–2008, aged 72) had a perforated ulcer and died on January 7, 2008.
- Albert Blithe (1923–1967, aged 44) had a perforated ulcer and died on December 17, 1967.
- Barbara Bush (born 1925) was treated for a perforated ulcer in November 2008.[5]
- Gene Clark (1944-1991, aged 46) had perforated ulcer and died on May 24, 1991.
- Count Dante (1939-1975, aged 36) died of internal hemorrhaging caused by a bleeding ulcer, on May 25, 1975.
- Ian Hendry (1931—1984, aged 53) died of a stomach haemorrhage in London, aged 53.
- Henry II of England (1133-1189, aged 56) had a perforated ulcer and died at Chinon Castle, France on 6 July 1189.[6]
- Doug Hepburn (1926–2000, aged 74) had a perforated ulcer and died on November 22, 2000.
- James Joyce (1882–1941, aged 58) had a perforated ulcer and died on January 13, 1941, in Zürich.
- Rudyard Kipling (1865–1936, aged 70) died of perforated duodenal ulcer on 18 January 1936.
- Richard Pankhurst (1834–1897) had a perforated ulcer and died in 1897.
- Charlie Parker (1920–1955, aged 35) had a perforated ulcer, and died on March 12, 1955.
- Thomas Preston (1860–1900) had a perforated ulcer and died in 1900.[7]
- J. R. R. Tolkien (1892–1973, aged 81) had a perforated ulcer and died on September 2, 1973.
- Rudolph Valentino (1895–1926, aged 31) had a perforated ulcer and died on August 23, 1926.
- Gene Vincent (1935–1971, aged 36) had a ruptured stomach ulcer and died on October 12, 1971.[8]
References
- ^ Stomach ulcer - Better Health Channel
- ^ "Peptic ulcers - treatment". Retrieved 2008-01-21.
- ^ Surgical-tutor.org.uk - a free online surgical resource
- ^ a b Svanes C (2000). "Trends in perforated peptic ulcer: incidence, etiology, treatment, and prognosis". World J Surg. 24 (3): 277–83. doi:10.1007/s002689910045. PMID 10658061.
- ^ Barbara Bush hospitalized
- ^ William Marshal: the story of a remarkable man
- ^ The Theory of Heat
- ^ Gene Vincent
Further reading
- http://healthgate.partners.org/browsing/browseContent.asp?fileName=11628.xml&title=Peptic%20Ulcer
UpToDate Contents
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English Journal
- Association between surgical delay and survival in high-risk emergency abdominal surgery. A population-based Danish cohort study.
- Vester-Andersen M1, Lundstrøm LH2, Buck DL3, Møller MH4.
- Scandinavian journal of gastroenterology.Scand J Gastroenterol.2016 Jan;51(1):121-8. doi: 10.3109/00365521.2015.1066422. Epub 2015 Jul 8.
- OBJECTIVE: In patients with perforated peptic ulcer, surgical delay has recently been shown to be a critical determinant of survival. The aim of the present population-based cohort study was to evaluate the association between surgical delay by hour and mortality in high-risk patients undergoing eme
- PMID 26153059
- Demographic profile, clinical features and outcome of peripheral ulcerative keratitis: a prospective study.
- Sharma N1, Sinha G1, Shekhar H1, Titiyal JS1, Agarwal T1, Chawla B1, Tandon R1, Vajpayee RB2.
- The British journal of ophthalmology.Br J Ophthalmol.2015 Nov;99(11):1503-8. doi: 10.1136/bjophthalmol-2014-306008. Epub 2015 May 2.
- PURPOSE: To evaluate aetiology, demographic profile, clinical features and outcomes in cases of peripheral ulcerative keratitis (PUK).METHODS: Seventy-six eyes of 65 consecutive patients with PUK were evaluated in this prospective interventional study over an 18 month period, which were followed f
- PMID 25935428
- Conversion of laparoscopic surgery for perforated peptic ulcer: a single-center study.
- Zimmermann M1, Hoffmann M2, Laubert T3, Jung C4, Bruch HP5, Schloericke E6.
- Surgery today.Surg Today.2015 Nov;45(11):1421-8. doi: 10.1007/s00595-015-1112-8. Epub 2015 Jan 10.
- PURPOSE: A perforated peptic ulcer can be managed laparoscopically in selected patients. The purpose of this study was to evaluate whether conversion of emergency laparoscopy is inferior to primary median laparotomy in terms of postoperative morbidity and mortality.METHODS: We analyzed patients who
- PMID 25576012
Japanese Journal
- HIV感染に合併した劇症型アメーバ性赤痢による直腸穿孔の1例
- 胃・十二指腸潰瘍穿孔 (特集 腹部良性疾患に対する外科治療の最前線)
- 腹壁瘢痕ヘルニアが原因と考えられた難治性胃潰瘍の1例
Related Links
- Because of the success of medical therapy in the management of peptic ulcer disease (PUD), surgery has a very limited role and elective peptic ulcer surgery has been virtually abandoned. The number of elective ...
- To diagnose an ulcer, you may need a test called an upper endoscopy (EGD). This is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and first part of the ...
★リンクテーブル★
[★]
- 英
- perforating ulcer, perforated ulcer
- 関
- 穿通性潰瘍、punched-out ulcer
- 深い潰瘍が漿膜を突き抜けて腹腔と交通した状態を指す(⇔穿通性潰瘍)
- 腸管内容物の腹腔への漏出により腹膜炎を起こす。
[★]
- ～に穴をあける。うがつ。(紙など)にミシン目を入れる
- 関
- perforation