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Reliable procedure for closing the duodenal stump for bleeding posterior duodenal ulcer



Reliable procedure for closing the duodenal stump for bleeding posterior duodenal ulcer



World Journal of Surgery 18(2): 286-8; Discussion 288-9



Bleeding posterior duodenal ulcers is a critical problem especially in patients of advanced age. Surgical treatment should obtain efficient and stable hemostasis and avoid digestive fistulas due to leakage of the duodenal stump. The main difficulty lies in the closure of the duodenal stump. A procedure using intramural dissection of the duodenum and closure by means of a stapler is reported for a series of 40 patients without recurrent bleeding or duodenal fistula. Seven patients (17%) died from associated diseases, especially respiratory insufficiency (3 patients) and cirrhotic liver failure (2 patients).

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Accession: 047228675

Download citation: RISBibTeXText

PMID: 8042336

DOI: 10.1007/bf00294417


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