Comparative Study Between Omental Plugging With Controlled Tube Duodenostomy for Management of Giant Duodenal Ulcer Perforation
نویسنده
چکیده
Perforated peptic ulcer is common surgical emergency,the immediate definitive treatment operation for perforated peptic ulcer is neither safe. Giant duodenal ulcer is defined as perforation of size equal to or greater than 2 cm in diameter . Gaint perforation is common in Indian surgical practice.but literature is silent regarding its result. Various techniques such as omentopexy , omental plugging, control tube duodenostomy , partial gastrectomy, jejunal-serosal patch, jejunal-pedical graft, proximal gastrojejunostomy , or even gastric disconnection have been described in literature.To choose right surgery either omentopexy, omental plugging or control tube duodenostomy definitive surgery is very difficult. Similar to the omentopexy, omental plugging and control tube duodenostomy they are not immune for the complication i.e post surgical leakage.Here we are studying the efficacy of omental plugging and control tube duodenostomy.
منابع مشابه
Giant duodenal ulcers after neurosurgery for brainstem tumors that required reoperation for gastric disconnection: a report of two cases
BACKGROUND Despite the efficacy of pharmacotherapy for gastrointestinal ulcers, severe cases of bleeding or perforation due to gastrointestinal ulcers still occur. Giant duodenal ulcer perforation is an uncommon but difficult-to-manage pathology with a high mortality rate. We report two cases of giant duodenal ulcer perforation after neurosurgery for brainstem tumors that needed reoperation for...
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Giant peptic perforation is a life threatening surgical emergency with high mortality, but literature is silent on the exact definition, incidence, management and complications of giant perforations of peptic ulcers. The present study is a retrospective study comparing efficacy of omental plugging and omental patch in the repair of giant peptic perforation (≥2cm in diameter). This study was und...
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