From: Perforated peptic ulcers in children: a systematic review
Author | Surgical management | Postoperative treatment | Length of hospital stay (days) | Follow-up period (months) |
---|---|---|---|---|
Bülbül and Şalcı, 2024. [15] | Laparotomy (n = 11, 100%) | N/A | 7 (4–10) | 3 (0–24) |
Wang et al., 2023. [16] | Laparoscopy (n = 19, 63.3%), laparotomy (n = 11, 36.7%) | N/A | Laparoscopy (13.8 ± 15.2) Laparotomy (16.1 ± 18.9) | N/A |
Shen et al., 2023. [17] | Laparotomy (n = 9, 69.2%), laparoscopy (n = 4, 30.8%) | N/A | Surgery group (13.6 ± 5.60) Conservative group (14.8 ± 4.60) | 8 (6–24) |
Sayan et al., 2021. [18] | Laparotomy (n = 9, 100%) | N/A | N/A | The mean postoperative follow-up period of the patients was 11.8 months. No complications or recurrence were observed. |
Yan et al., 2019. [19] | Laparotomy (n = 13, 65%), laparoscopy (n = 7, 35%) | N/A | 8 (7.0–9.3); gastric localization (8.5 ± 2.2), duodenal localization (12.5 ± 4.0) | The mean follow-up period was 18.5 months. No complications or recurrence were observed. |
Reusens et al., 2016. [20] | Laparoscopy (n = 5, 100%) | All patients (n = 5) received general postoperative treatment, which consisted of antalgic treatment, antibiotics (cefazoline), and PPI. | 6 (4–12) | N/A |
Wong et al., 2015. [21] | Laparoscopy (n = 7, 53.8%), laparotomy (n = 6, 46.2%) | 6 weeks after the initial surgery, upper endoscopy was performed in all patients (n = 13) From all patients (n = 13) antral biopsy was taken. H. pylori (n = 2); successfully treated with eradication therapy (clarithromycin, amoxicillin, and PPI). | Laparoscopic group (6.4 ± 1.5) Laparotomic group (10.3 ± 4.4) | N/A |
Yildiz et al., 2014. [22] | Laparotomy (n = 9, 100%) | Triple therapy for H. pylori eradication; amoxicillin 50 mg/ kg/day, lansoprazole 1 mg/kg/day, and clarithromycin 15 mg/kg/day for 2 weeks | N/A | 58 (3–94); abdominal pain 2 years after the therapy (n = 1) (patient was administered a repeat course of conservative medical therapy) |
Hua et al., 2007. [23] | Laparotomy (n = 51, 98.1%), laparoscopy (n = 1, 1.9%) | H2 blocker or proton pump inhibitor (PPI) n = 12) | N/A | 44 (84.6%) were available for follow-up. 22 had abdominal pain after the PPU episode and 6 patients had PUD recurrence confirmed by endoscopy. All of the patients with recurrent PUD were managed by ‘‘classic’’ surgery and 3 were given postoperative antacid treatment. No patient had PPU again |
Wong et al., 2006. [24] | Laparoscopy (n = 13, 76.5%), laparotomy (n = 4, 23.5%) | Patients with H. pylori (n = 16) received triple antibiotic therapy (PPI, clarithromycin, and amoxicillin) | The median was 7 days | The median was 32.6 months |
Edwards et al., 2005. [25] | Laparotomy (n = 16, 100%) | N/A | N/A | N/A |
Dunn et al., 1983. [26] | Laparotomy (n = 12, 100%) | N/A | N/A | N/A |