required because of persistent leakage from perforated ulcers or if the perforations are larger than 2–3 cm. Common alternatives are a novel Graham patch closure, Billroth procedure, jejunal serosal patch, and duodenojejunostomy with a Roux-en-Y anastomosis [1,2]. Many of these are complicated surgical procedures which require prolonged general anesthesia. Our patient, an 81-year-old man, was a...