{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:44:36Z","timestamp":1787071476672,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"\n Background:<\/jats:title>\n Gastric ulcer perforation remains a life-threatening emergency requiring timely surgical intervention. Multiple operative techniques exist, including primary closure, modified Graham\u2019s patch repair, gastrojejunostomy, and use of falciform ligament in cases of omental deficiency.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n A retrospective analysis was conducted from January 2020 to December 2024 involving 120 patients diagnosed with gastric ulcer perforation. The study included patients treated at both SRVS Medical College and a local private hospital. Based on intraoperative findings and surgeon preference, patients underwent one of the following surgical techniques: Group A (\n n<\/jats:italic>\n = 40)\u2014primary closure; Group B (\n n<\/jats:italic>\n = 35)\u2014modified Graham\u2019s patch repair; Group C (\n n<\/jats:italic>\n = 25)\u2014gastrojejunostomy for giant perforations; Group D (\n n<\/jats:italic>\n = 20)\u2014falciform ligament patch in cases with deficient greater omentum.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Group A showed shorter operative time (mean 55 \u00b1 10 min) and hospital stay (mean 6 \u00b1 2 days), but had a 15% rate of minor leakage. Group B had a leakage rate of 8.5%, with slightly longer operative time (mean 70 \u00b1 12 min). Group C, used in giant perforations (>2 cm), had the longest operative time (mean 95 \u00b1 15 min) but the lowest leak rate (4%), albeit with a prolonged hospital stay (mean 10 \u00b1 3 days). Group D showed moderate outcomes with a 10% complication rate and hospital stay of 8 \u00b1 2 days. Mortality was highest in Group A (2 cases), likely due to delayed presentation and peritonitis.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Modified Graham\u2019s patch repair and gastrojejunostomy offer better outcomes in terms of leakage prevention and postoperative recovery compared to primary closure. The falciform ligament serves as a viable alternative in cases of omental deficiency.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1352_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:01:20Z","timestamp":1766044880000},"page":"S3301-S3303","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective Study on Various Surgical Approaches for Gastric Ulcer Perforation. A Comparative Study"],"prefix":"10.4103","volume":"17","author":[{"given":"Saurabh","family":"Chauhan","sequence":"first","affiliation":[{"name":"Department of Surgery, SRVS Medical College, Shivpuri, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Kushwanshi","sequence":"additional","affiliation":[{"name":"Department of Surgery, SRVS Medical College, Shivpuri, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangeeta","family":"Rajput","sequence":"additional","affiliation":[{"name":"Department of General Surgery, SRVS Medical College, Shivpuri, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babita","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, District Hospital, Shivpuri, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"101896","DOI":"10.4240\/wjgs.v17.i2.101896","article-title":"Retrospective comparative study of different surgical methods for gastric ulcer perforation: Efficacy and postoperative complications","volume":"17","author":"Pang","year":"2025","journal-title":"World J Gastrointest Surg"},{"key":"R2-20251218","doi-asserted-by":"crossref","first-page":"1745","DOI":"10.1007\/s00068-019-01237-8","article-title":"Outcomes of omental patch repair in large or giant perforated peptic ulcer are comparable to gastrectomy","volume":"47","author":"Chan","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R3-20251218","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1177\/00031348211067991","article-title":"Comparison of omental patch closure versus simple closure for laparoscopic repair of perforated peptic ulcer: A systematic review and meta-analysis","volume":"89","author":"Mohamedahmed","year":"2023","journal-title":"Am Surg"},{"key":"R4-20251218","doi-asserted-by":"crossref","first-page":"63","DOI":"10.62713\/aic.3812","article-title":"Application of different surgical strategies in Helicobacter pylori-associated gastric ulcers with perforation: A comparative study of short-term and long-term outcomes and complication risks","volume":"96","author":"Pan","year":"2025","journal-title":"Ann Ital Chir"},{"key":"R5-20251218","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.asjsur.2019.08.007","article-title":"Simple laparoscopic repair of perforated peptic ulcer without omental patch","volume":"43","author":"Pan","year":"2020","journal-title":"Asian J Surg"},{"key":"R6-20251218","first-page":"156","article-title":"The therapeutic strategies in performing emergency surgery for gastroduodenal ulcer perforation in 130 patients over 70 years of age","volume":"48","author":"Tsugawa","year":"2001","journal-title":"Hepatogastroenterology"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1007\/s00464-012-2492-0","article-title":"Omental patch repair effectively treats perforated marginal ulcer following Roux-en-Y gastric bypass","volume":"27","author":"Wendling","year":"2013","journal-title":"Surg Endosc"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1352_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:46:41Z","timestamp":1787068001000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_1352_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":7,"journal-issue":{"issue":"Suppl 4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_1352_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-08-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}