Giant perforations of duodenal ulcer.
Article
in English
| IMSEAR
| ID: sea-65470
ABSTRACT
Over a period of eleven years, eight patients were treated for duodenal ulcer perforation measuring more than one centimetre in diameter. In five of these patients, the perforation was sealed using a jejunal loop as serosal onlay patch; one patient underwent gastrectomy and in two patients catheter duodenostomy was done. Two patients died, both due to renal failure. The six surviving patients were discharged with the advice for a subsequent 'ulcer-curing' operation after six months. Two patients developed life threatening complications during this waiting period and one of these died. Giant perforations of duodenal ulcer can safely be closed using a jejunal loop as serosal patch. Delay in doing the second stage definitive surgery for the ulcer may be dangerous.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Peptic Ulcer Perforation
/
Aged
/
Female
/
Humans
/
Male
/
Duodenostomy
/
Hematemesis
/
Duodenal Ulcer
/
Gastrectomy
/
Middle Aged
Language:
English
Year:
1991
Type:
Article
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