Perforated peptic ulcer disease in children: Association of corticosteroid therapy

Stephen W. Bickler, Marvin W. Harrison, John R. Campbell

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Four children were treated at the Oregon Health Sciences University for perforated peptic ulcer disease over the last 15 years. All children were being treated for other severe underlying diseases at the time of perforation. All of the children were receiving corticosteroids; one was receiving ulcer prophylaxis. Presenting symptoms were those of a perforated viscus, and pneumoperitoneum was present in all patients. Simple closure and omental patching of the ulcer resulted in no operative mortality or morbidity. None of the ulcers have recurred. In reviewing the literature, corticosteroids were associated with perforated peptic ulcer disease in 17.8% of children with perforated peptic ulcer. Despite controversy regarding the role of corticosteroids in the causation of peptic ulcer, we recommend prophylaxis for all children receiving corticosteroids.

Original languageEnglish (US)
Pages (from-to)785-787
Number of pages3
JournalJournal of pediatric surgery
Volume28
Issue number6
DOIs
StatePublished - Jun 1993

Keywords

  • Peptic ulcer disease
  • corticosteroids effect

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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