Pancreaticoduodenostomy for treatment of giant duodenal ulcer : case report

Definitive acid-reducing peptic ulcer surgery currently plays a less prominent role than medical treatment in the management of peptic ulceration. The utilisation of proton pump inhibitors and Helicobacter eradication are proven effective therapies. Giant duodenal ulcers; first described by Brdiczka in 1931; pose a unique challenge to this shift in therapy. There are various described surgical options to deal with these ulcers depending on the operative findings and we describe a simple new technique that we recently used successfully