Graham's Patch Versus Modified Graham's Patch in the Management of Perforated Duodenal Ulcer

This study compared the short-term outcomes of traditional versus modified Graham's patch repairs for perforated duodenal ulcers and found no significant differences in post-operative complications or hospital stay. Both techniques were safe and effective, allowing surgeons to choose based on experience and intra-operative factors, with the modified patch potentially offering easier handling for certain cases. However, due to limitations like small sample size and short follow-up, larger multi-center trials are needed to better assess long-term outcomes and guide surgical practice.

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Publication Details

Journal
Cureus
Published
2025-11-10
DOI
https://doi.org/10.7759/cureus.96486
Primary Topic
Gastric Cancer Management and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Graham's Patch Versus Modified Graham's Patch in the Management of Perforated Duodenal Ulcer

Md. Shahidul Islam, Zain Girach, Reza Salehi, Motahara Tasneem et al.
Cureus
Gastric Cancer Management and Outcomes
article

Graham's Patch Versus Modified Graham's Patch in the Management of Perforated Duodenal Ulcer

Md. Shahidul Islam, Zain Girach, Reza Salehi, Motahara Tasneem, Ashraful Islam, Mohammad Arifur Rahman
article en

Abstract

This study compared the short-term outcomes of traditional versus modified Graham's patch repairs for perforated duodenal ulcers and found no significant differences in post-operative complications or hospital stay. Both techniques were safe and effective, allowing surgeons to choose based on experience and intra-operative factors, with the modified patch potentially offering easier handling for certain cases. However, due to limitations like small sample size and short follow-up, larger multi-center trials are needed to better assess long-term outcomes and guide surgical practice.

CureusVol. 17(11)
Crescent University (NG), Combined Military Hospital (PK), Kettering General Hospital (GB), Kettering General Hospital NHS Trust (GB), Dhaka Medical College and Hospital (BD)
Openalex Percentile: Top 52%
Gastric Cancer Management and Outcomes
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