ABSTRACT
Duodenal Ulcer perforations be it large or giant, is frequently encountered surgical emergency in clinical practice. Its quiet prevalent in tropical and sub tropical countries like ours and accounts for high number of hospital admissions. It's a treatable surgical disease with good clinical outcome but has potential for mobidity and mortality in the event of delayed treatment. Despite the advances made in surgical therapy the diagnosis of Large and Giant duodenal perforations is quiet difficult and the management is highly demanding.In our study of 30 patients, we report our expereince of Cellan-Jones omental patching with feeding jujenostomy in cases of large duodenal ulcer perforations and also the experience of treating giant duodenal ulcer perforations with jujenal serosal patching with feeding jujenostomy and with Anterectomy plus Bilroth-II in selective cases.