Surgical treatment of massive rebleeding after gastrectomy for bleeding gastroduodenal ulcer / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
;
(12): 32-34, 2005.
Article
in Chinese
| WPRIM
| ID: wpr-252473
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the reoperation experiences in treatment of massive rebleeding after subtotal gastrectomy for bleeding gastroduodenal ulcer.</p><p><b>METHODS</b>From 1980 to 2002, clinical data of 26 cases with massive rebleeding after subtotal gastrectomy for bleeding gastrorenal ulcer were analyzed retrospectively.</p><p><b>RESULTS</b>Preoperative gastroscopy was performed in 6 cases, intraoperative gastroscopy in 11, and preoperative superselective angiography in 2 cases. Eleven cases with left ulcer or post- bulb ulcer bleeding underwent resection of the left ulcer or longitudinal incision of the duodenal descending part and direct hemostasis. Thirteen cases with anastomotic stoma bleeding underwent local suture hemostasis or resection of the stoma plus Billroth II or Roux- en- Y gastrojejunostomy. Two cases with gastric bleeding received reexcision of the stomach remnant. Twenty- four cases (92.3% ) were cured and 2 cases (7.7% ) died of gastric bleeding.</p><p><b>CONCLUSION</b>Preoperative superselective angiography and intraoperative gastroscopy are beneficial to clarify the bleeding position and causes for massive rebleeding after gastrectomy. It is very important to select proper operative method to prevent postoperative rebleeding.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peptic Ulcer
/
General Surgery
/
Angiography
/
Retrospective Studies
/
Postoperative Hemorrhage
/
Gastrectomy
/
Gastrointestinal Hemorrhage
Type of study:
Observational study
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2005
Type:
Article
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