Analysis of Postoperative Complications Following Perforated Duodenal Ulcer and the Impact of Clinical-Surgical Risk Factors

This study analyzes postoperative complications arising after surgical treatment of perforated duodenal ulcers — in particular, dumping syndrome and reflux gastritis — as well as the key clinical and surgical factors influencing their development. It was observed that complications were more frequently encountered in patients over the age of 50, those with large perforation sizes, and in cases where surgery was delayed. Additionally, the presence of underlying somatic diseases significantly increased the likelihood of postoperative complications. Risk assessment systems such as Boey, ASA, and PULP were found to have practical prognostic value in predicting adverse outcomes. The use of laparoscopic techniques, particularly the Graham patch method, was associated with a lower incidence of complications. The findings emphasize that individualized patient management, early detection, and continuous monitoring may contribute significantly to the prevention of postoperative complications.