Balancing emergency repair and oncological safety in gastric ulcer perforations

doi:10.4240/wjgs.v17.i10.110382

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Oct 27, 2025 (publication date) through Oct 24, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Letter to the Editor

World J Gastrointest Surg. Oct 27, 2025; 17(10): 110382
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.110382

Balancing emergency repair and oncological safety in gastric ulcer perforations

Adem Tuncer, Cuneyt Kayaalp

Adem Tuncer, Department of Surgery and Liver Transplantation, Faculty of Medicine, Istanbul Aydın University, Istanbul 34280, Türkiye

Cuneyt Kayaalp, Department of Gastroenterology Surgery, Atlas University, Istanbul 44280, Türkiye

Author contributions: Tuncer A and Kayaalp C read the original published article and discussed, designed, and wrote this letter.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Cuneyt Kayaalp, Professor, Department of Gastroenterology Surgery, Atlas University, 4/2 Gulden Street, Goztepe, Kadikoy, Istanbul 44280, Türkiye. cuneytkayaalp@hotmail.com

Received: June 5, 2025
Revised: July 10, 2025
Accepted: August 13, 2025
Published online: October 27, 2025
Processing time: 141 Days and 5.2 Hours

Core Tip

Core Tip: Gastric ulcer perforations are not always benign. The possibility of malignancy should not be overlooked during emergency repair. Early endoscopy following simple closure can help avoid unnecessary radical surgery while allowing timely cancer diagnosis. Additional studies are needed to determine the earliest time that endoscopy can be performed safely following peptic ulcer perforation repair.