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The occurrence of peptic ulcer illness features reduced over the last few decades, but the incidence of reported peptic ulcer problems has not decreased. Perforating peptic ulcer (PPU) is a severe type of the disease. To assess styles when you look at the occurrence, presentation, and outcome of PPU during a period of 40 years. This was a single-centre, retrospective, cohort study of most patients admitted to Levanger Hospital, Norway, with PPU from 1978 to 2017. The c