Early Oral Feeding Versus Traditional Delayed Oral Feeding Post-perforated Peptic Ulcer Repair

Inclusion Criteria: \- All consecutive patients, of age 18 years and above, who were presented to the emergency surgical team and were diagnosed with perforated duodenal ulcer by surgicalteam, were recruited and assessed for eligibility. Exclusion Criteria: * • Preoperative refractory septic shock on admission. * Delayed presentation more than 24 hours. * The presence of neuropsychiatric disease, pregnant and lactating women. * Predisposing factors for impaired wound healing (e.g., currently using immunosuppressive agents, or chronic use of steroids), the presence of HIV. * American society of anesthesiologists grade iii/iv, or had an alternative perioperative diagnosis. * Intraoperatively, after randomization, patients were excluded based on the following criteria: perforated duodenal ulcer ≥20 mm, consistent with malignant ulcers.