+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Variations reported in surgical practice for bleeding duodenal ulcers



Variations reported in surgical practice for bleeding duodenal ulcers



American Journal of Surgery 192(5): E42-E45



To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed. FAC (n = 33) and RES (n = 42) were surveyed regarding their surgery of choice between oversew (OS) or acid-reducing procedures (ARPs) in 4 scenarios. FAC who had recertified in general surgery (RECERT) were compared with young FAC who had not and RES (RES/young FAC). Two-group comparisons were performed. Seventy-three percent of FAC and 62% of RES responded. RES perform more ARPs on hemodynamic (HD), unstable, elderly patients than FAC (P = .013). On the elderly patient, RES/young FAC perform more ARPs in a HD stable (P = .07) and unstable condition (P = .18). HD unstable patients would undergo OS more frequently than stable patients (P = .016). In this survey, the choice of optimal surgical procedure for an acute bleeding ulcer varies among surgeons based on years of surgical experience and individual patient factors.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050935314

Download citation: RISBibTeXText

PMID: 17071180

DOI: 10.1016/j.amjsurg.2006.08.021


Related references

Surgical tactics in bleeding duodenal ulcers. Khirurgiia: 32-36, 1990

Immediate results of surgical treatment of bleeding duodenal ulcers. Polski Przeglad Chirurgiczny 42(11): 1627-1633, 1970

Surgical treatment of large bleeding duodenal ulcers. Vestnik Khirurgii Imeni I. I. Grekova 141(9): 7-11, 1988

Surgical tactics in bleeding chronic duodenal ulcers. Klinicheskaia Khirurgiia: 65-69, 1986

Helicobacter pylori infection is a protective factor for bleeding gastric ulcers but not for bleeding duodenal ulcers in NSAID users. Alimentary Pharmacology & Therapeutics 13(11): 1511-1518, 1999

Reply Helicobacter pylori infection is a protective factor for bleeding gastric ulcers but not for bleeding duodenal ulcers in NSAID users. Alimentary Pharmacology & Therapeutics 14(8): 1106, August, 2000

Surgical indications and results in bleeding from gastric and duodenal ulcers. Polski Przeglad Chirurgiczny 30(5): 482-484, 1958

Bleeding duodenal ulcers have lower gastric urease activity than uncomplicated duodenal ulcers. Gastroenterology 116(4 PART 2): A227, April, 1999

Distensible pyloroduodenoplasty in the surgical treatment of bleeding and stenosing duodenal ulcers. Khirurgiia: 34-37, 1985

Long-term results of the surgical treatment of bleeding gastric and duodenal ulcers. Vrachebnoe Delo: 19-20, 1988

Surgical treatment of bleeding duodenal ulcers with the consideration of lipid metabolism indices. Meditsinskii Zhurnal Uzbekistana (10): 12-14, 1987

Surgical treatment of bleeding duodenal ulcers in children occurring during hormone therapy. Pediatriia 49(11): 19-22, 1970

Internal ligatures of the pyloro-duodenal region after surgical treatment of bleeding ulcers. Vestnik Khirurgii Imeni I. I. Grekova 144(5): 27-31, 1990

Surgical treatment of bleeding duodenal ulcers in late middle-aged patients. Khirurgiia: 85-87, 1984