Gastric cancer perforation: experience from a tertiary care hospital

Kandel, Bishnu Prasad; Singh, Yogendra; Singh, Keshav Prasad; Khakurel, Mahesh

Article:
Gastric cancer perforation: experience from a tertiary care hospital

creativeworkseries.issn	JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.author	Kandel, Bishnu Prasad
dc.contributor.author	Singh, Yogendra
dc.contributor.author	Singh, Keshav Prasad
dc.contributor.author	Khakurel, Mahesh
dc.creator.affiliation	Department of Surgery, Tribhuvan University Teaching Hospital,Kathmandu.
dc.creator.affiliation	Department of Surgery, Tribhuvan University Teaching Hospital,Kathmandu.
dc.creator.affiliation	Department of Surgery, Tribhuvan University Teaching Hospital,Kathmandu.
dc.creator.affiliation	Department of Surgery, KIST Medical College, Kathmandu, Nepal.
dc.date.accessioned	2026-10-13T05:29:58Z
dc.date.available	2026-10-13T05:29:58Z
dc.date.issued	2013
dc.description.abstract	Abstract Introduction: Gastric cancer perforation can occurs in advanced stage of the disease and is often associated with a high morbidity and mortality. Peritonitis due to perforation needs emergency laparotomy and different surgical procedures can be performed for definitive treatment. Surgical procedures largely depend on the stage of the disease and general condition of the patient. This study was carried out to evaluate the outcome and role of different surgical procedures in gastric cancer perforation. Methods: Medical record of patients with gastric perforation, who were treated during ten years period, was reviewed retrospectively. Data regarding clinical presentation, surgical procedures, staging and survival of patients were obtained. Results: Features suggestive of diffuse peritonitis were evident in all cases. The majority of the patients underwent emergency surgery except one who died during resuscitation. The majority of patients were in stage III and stage IV. Surgical procedure includes simple closure and omental patch in five patients, simple closure and gastrojejunostomy in nine patients, gastrectomy in six patients and Devineâ€™s antral exclusion in one patient. Surgical site infection was the most common (45.5%) postoperative complication. Four patients died within one month of the surgery. Three patients who underwent gastrectomy survived for one year and one patient survived for five years. Conclusions: Although gastric cancer perforation usually occurs in advanced stage of the disease, curative resection should be considered as far as possible. Keywords: Gastric cancer; Gastrectomy; Laparotomy; Perforation; Peritonitis.
dc.identifier.doi	https://doi.org/10.31729/jnma.2276
dc.identifier.uri	https://hdl.handle.net/20.500.14572/8142
dc.language.iso	en_US
dc.publisher	Nepal Medical Association
dc.subject	Gastric cancer
dc.subject	Gastrectomy
dc.subject	Laparotomy
dc.subject	Perforation
dc.subject	Peritonitis
dc.title	Gastric cancer perforation: experience from a tertiary care hospital
dc.type	Article
dspace.entity.type	Publication
local.article.type	Original Article
oaire.citation.endPage	493
oaire.citation.startPage	489
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