Outcomes of cocaine-induced gastric perforations repaired with an omental patch

Kevin M. Schuster, William J. Feuer, Erik S. Barquist

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Crack cocaine has been associated with acute gastric perforation. The appropriate surgical treatment and long-term outcomes remain unclear. A retrospective chart review of all gastroduodenal perforations associated with crack cocaine use was performed. Data abstracted included details of short- and long-term outcomes. Kaplan-Meier methods were used to evaluate surgical outcomes. Over the 14-year period ending December 2005, 16 cases of crack-induced gastric perforations were identified. Most (75%) were treated with an omental patch. The other patients underwent a formal antiulcer operation, including one vagotomy and pyloroplasty (V&P), one vagotomy and antrectomy, one subtotal gastrectomy, and one ulcer excision and V&P. All patients after antiulcer procedures were followed for a median of 63 months (range 27-120) with no recurrences. Follow-up data were available in 75% of the omental patch patients. Recurrence of disease was observed in 56% of these omental patch patients at a median of 20 months (range 11-39). Those without recurrence were followed for a median of 67 months (range 12-96). The recurrence rate was borderline lower in the antiulcer group (P∈=∈0.072). Omental patch closure results in a recurrence rate over 50% compared with no recurrence for formal antiulcer procedures.

Original languageEnglish (US)
Pages (from-to)1560-1563
Number of pages4
JournalJournal of Gastrointestinal Surgery
Issue number11
StatePublished - Nov 2007


  • Crack cocaine
  • Gastrectomy
  • Peptic ulcer perforation

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology


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