Letters

Claim for major advance in treatment of perforated peptic ulcer seems premature

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7134.860a (Published 14 March 1998) Cite this as: BMJ 1998;316:860
  1. Ian L P Beales, Lecturer in internal medicine and gastroenterology
  1. Department of Gastroenterology, West Norwich Hospital, Norwich NR2 3TU

    EDITOR—In their review of recent advances in general surgery Corvera and Kirkwood conclude that recognition of the importance of Helicobacter pylori in perforated peptic ulcer disease has led to a change in management strategy.1 They advocate a move away from acid-reductive surgery to simple closure with subsequent anti-H pylori treatment. While a reduction in the complexity of surgical intervention might be welcome, the published evidence does not support such a central role for …

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