Abstract
Emergency operation for the elderly patients often associates with risks such as complications, accordingly good selection of operative procedure appropriate for each condition is necessary.
A 90-year-old woman underwent emergency lapartomy with a diagnosis of general peritonitis, and perforations in both the anterior and posterior wall of pyloric antrum were found. When considered her age as old as 90 years, much delays after perforations, and a sever edema in the gastric wall, gastrectomy might be inevitably accompanied by suture repture. To avoid this risk, omentoplasty was performed for the perforated site at the posterior wall and external gastrostomy with gastric tube for the anterior perforated site, and each circumference was dually fixed to abdominal wall. It took one hour and 55 minutes for the operations. The postoperative course was uneventful. She could start to take meals orally on the 21st day and was discharged on 35th day after surgery.
Omentoplasty devised by Wakabayashi and others and external gastrostomy with gastric tube appear to be convenient and available procedures in that the procedures are accompanied by fewer complications differing from simple suture and closure.
