{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T06:40:05Z","timestamp":1756104005982,"version":"3.44.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T00:00:00Z","timestamp":1755648000000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Gastric and duodenal ulcer perforation represents one of the most critical causes of acute abdomen, necessitating urgent surgical intervention. While primary repair with omental patch remains the standard treatment for uncomplicated cases, alternative surgical approaches may be preferable in complex or delayed presentations. We illustrate this variability through two distinct cases. Case I: A recurrent gastric perforation managed via wedge resection using linear staplers, reinforced with Lembert sutures to ensure staple-line integrity. Case II: A delayed duodenal perforation treated with Heineke-Mikulicz duodenoplasty combined with omentoplasty to address tissue edema and mitigate leakage risk. These cases highlight the necessity of adapting surgical strategies to patient-specific factors, such as perforation chronicity, tissue viability, and prior intervention history. Unlike routine repairs, complex scenarios often demand advanced techniques to optimize outcomes and reduce morbidity.<\/jats:p>","DOI":"10.1093\/omcr\/omaf134","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T13:03:14Z","timestamp":1755694994000},"source":"Crossref","is-referenced-by-count":0,"title":["Alternative approach of complicated peptic ulcer perforation in recurrent and delayed\u2014two cases"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1338-7710","authenticated-orcid":false,"given":"Ahmed","family":"Taha","sequence":"first","affiliation":[{"name":"Department of General Surgery, SBU, Bursa Y\u00fcksek \u0130htisas Training and Research Hospital , Mimarsinan Mah. Emniyet Cad. Y\u0131ld\u0131r\u0131m, 16310 Bursa - Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,8,20]]},"reference":[{"key":"2025082502162080800_ref1","doi-asserted-by":"publisher","first-page":"573901","DOI":"10.3389\/fsurg.2020.573901","article-title":"An overview of gastroduodenal perforation","volume":"7","author":"Weledji","year":"2020","journal-title":"Front Surg"},{"key":"2025082502162080800_ref2","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1080\/00365521.2019.1647456","article-title":"Diagnosis and management of duodenal perforations: a narrative review","volume":"54","author":"Ansari","year":"2019","journal-title":"Scand J Gastroenterol"},{"key":"2025082502162080800_ref3","doi-asserted-by":"publisher","first-page":"692","DOI":"10.26574\/maedica.2022.17.3.692","article-title":"A review on treatment of perforated peptic ulcer by minimally invasive techniques","volume":"17","author":"Coco","year":"2022","journal-title":"Maedica"},{"key":"2025082502162080800_ref4","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1001\/jamasurg.2024.6724","article-title":"Management of Perforated Peptic Ulcer: a review","volume":"160","author":"Arshad","year":"2025","journal-title":"JAMA Surg"},{"key":"2025082502162080800_ref5","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1097\/TA.0000000000003357","article-title":"Duodenal ulcer perforation: a systematic literature review and narrative description of surgical techniques used to treat large duodenal defects","volume":"91","author":"Clinch","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082502162080800_ref6","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1007\/s00535-021-01769-0","article-title":"Evidence-based clinical practice guidelines for peptic ulcer disease","volume":"56","author":"Kamada","year":"2020","journal-title":"J Gastroenterol"},{"key":"2025082502162080800_ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13017-019-0283-9","article-title":"Perforated and bleeding peptic ulcer: WSES guidelines","volume":"15","author":"Tarasconi","year":"2020","journal-title":"World J Emerg Surg"},{"key":"2025082502162080800_ref8","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1016\/j.suc.2011.06.008","article-title":"Emergency ulcer surgery","volume":"91","author":"Lee","year":"2011","journal-title":"Surg Clin North Am"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/8\/omaf134\/64091258\/omaf134.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/8\/omaf134\/64091258\/omaf134.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T06:16:28Z","timestamp":1756102588000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf134\/8238566"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":8,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8,11]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf134","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2025,8]]},"published":{"date-parts":[[2025,8]]},"article-number":"omaf134"}}