Surgical treatment of duodenal ulcer: how to approach.

گزارش ۱۱۸ مورد درمان خونریزی دئودنال السر با دو روش جراحی درحالت اورژانس

ABSTRACT: The best method for surgical treatment of typical duodenal ulcer has not been recognized. In this report, 118 patients were randomly selected and then studied by two surgical methods : (1)Oversewing plus vagotomy and drainage (O+V) and (2) Gastric Resection (GR)associated with the removal of the ulcer. The ratios of postoperative bleeding recurrence, duodenal leakage and the mortali...

Laparoscopic repair of perforated peptic duodenal ulcer.

Although prevalence of peptic ulcer is decreasing, the number of peptic ulcer perforations appears to be unchanged. This complication of peptic ulcer is traditionally surgically treated. In recent years, a number of papers have been published where the authors managed perforated duodenal peptic ulcer in selected patients using laparoscopic approach. Laparoscopic treatment of perforated duodenal...

Single Incision Laparoscopic Peptic Ulcer Repair with the Use Extracorporeal Mishra Knot: A Case Report

Background: Single-port laparoscopic surgery is increasingly being used in cases of complex and complicated laparoscopic surgical intervention. We present a case of the cost effective Mishra’s extracorporeal knotting approach for treatment of a perforated duodenal ulcer (PUD). Methods: We present a case report of a patient with perforated duodenal ulcer who underwent single-port laparoscopic re...

Cost effective management of duodenal ulcers in Uganda: interventions based on a series of seven cases.

BACKGROUND Our understanding of the cause and treatment of peptic ulcer disease has changed dramatically over the last couple of decades. It was quite common some years ago to treat chronic ulcers surgically. These days, the operative treatment is restricted to the small proportion of ulcer patients who have complications such as perforation. The author reports seven cases of perforated duodena...

Highly Selective Vagotomy in the Management of Perforated Duodenal Ulcer

In the emergency treatment of a perforated duodenal ulcer (DU), after surgical closure of the perforation and treatment of the secondary peritonitis, higly selective vagotomy(HSV) is a valid therapy to prevent recurrence of the underlying disease.

The Non-Surgical Treatment of Duodenal Ulcer