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

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

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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
Volume11
Issue number11
DOIs
StatePublished - Nov 2007

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Cocaine
Stomach
Recurrence
Crack Cocaine
Vagotomy
Gastrectomy
Ulcer

Keywords

  • Crack cocaine
  • Gastrectomy
  • Peptic ulcer perforation

ASJC Scopus subject areas

  • Surgery

Cite this

Outcomes of cocaine-induced gastric perforations repaired with an omental patch. / Schuster, Kevin M.; Feuer, William J; Barquist, Erik S.

In: Journal of Gastrointestinal Surgery, Vol. 11, No. 11, 11.2007, p. 1560-1563.

Research output: Contribution to journalArticle

Schuster, Kevin M. ; Feuer, William J ; Barquist, Erik S. / Outcomes of cocaine-induced gastric perforations repaired with an omental patch. In: Journal of Gastrointestinal Surgery. 2007 ; Vol. 11, No. 11. pp. 1560-1563.
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