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The Role of Laparoscopy in Peptic Ulcer Disease2016

Type: New Practice Management Guideline (PMG)
Category: Emergency General Surgery
Committee Liaison: Jaswin Sawhney, MD

Team leader(s)

Laparoscopy has become the gold standard for treatment of appendicitis and cholecystitis. Even though the incidence of peptic ulcer disease has decreased with the use of proton pump inhibitors and the treatment of H.pylori, the acute care surgeon still has to treat this disease surgically. Several studies have been published regarding the use of laparoscopy for the treatment of peptic ulcer disease (usually the perforated peptic ulcer), including a randomized controlled trial in the Annals of Surgery in 2002 suggesting early recovery and shorter hospital stays. There has been a Cochrane review on the topic that suggests an improvement in sepsis when laparoscopy is utilized. A new practice management guideline from our society would help frame the literature for the Acute Care Surgery community. We can start with a straightforward question that looks at patients with perforated peptic ulcer disease does laparoscopic repair compared to open repair result in decreased mortality, intra abdominal abscess etc.

Paula Ferrada, MD
Nicole Fox, MD, MPH
Rondi Gelbard, MD
Nathaniel Poulin, MD
Bryce Robinson, MD, MS
Jaswin Sawhney, MD
D. Dante Yeh, MD

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