Duodenal trauma is an uncommon injury associated with significant mortality and morbidity. Upper gastrointestinal radiological studies and computed tomography may lead to the diagnosis of blunt duodenal trauma. Exploratory laparotomy remains as the ultimate diagnostic test if a high suspicion of duodenal injury continues even in the face of absent or equivocal radiographic signs. The majority o...

Introduction: In Ramadan, healthy adult Muslims are obliged to fast. Prolonged fasting increase gastric acid and pepsin levels, which promote the risk of duodenal ulcer perforation (DUP). Effects of Ramadan fasting on DUP have not been thoroughly studied yet, and the limited number of studies investigating the impact of Ramadan fasting on DUP yielded discrepant results. This study aimed to eval...

Duodenal gastrointestinal stromal tumor (GIST) is rarely observed in the system. It can be confused with pancreas pathologies as it shows an extramural growth pattern. The case here presented of a 65-year-old male who complaints abdominal pain, nausea and vomiting. On contrast tomography, centrally hypodense, necrotic mass, 140×115×100 mm size, was head. With preliminary diagnosis neuroendocrin...

Abstract Duodenal perforations are a surgical emergency with high mortality. Most require open or laparoscopic repair, whereby the ulcer is oversewn, sometimes using Graham patch. However, surgery not without complications. We report case of 70-year-old man chronic, perforated duodenal that was repaired endoscopically. The patient presented 1-month history epigastric abdominal pain, exacerbated...

hepatic artery aneurysms are a rare cause of upper gastrointestinal hemorrhage and may represent significant problems in both diagnosis and management. we report a 70 year old patient with gastrointestinal bleeding from a fistula between a 7 cm hepatic artery aneurysm and the duodenum. he underwent successful surgical management with endoaneurysmorrhaphy and duodenal wall repair.

BACKGROUND The traditional management of complex penetrating duodenal trauma (PDT) has been the use of elaborate temporizing and complex procedures such as the pyloric exclusion and duodenal diverticulization. We sought to determine whether a simplified surgical approach to the management of complex PDT injuries improves clinical outcome. METHODS A retrospective review of all consecutive PDT ...

OBJECTIVES We sought to determine whether the performance of pyloric exclusion during repair of penetrating advanced duodenal injuries prevents postoperative duodenal fistulas and improves clinical outcome. METHODS A retrospective chart review of patients from 1995 to 2004 with penetrating duodenal injuries >or=grade II and all combined pancreaticoduodenal injuries was performed. Patients man...

Duodenal ulcer perforation is one of the most commonly encountered condition in emergency surgery. Laparoscopic repair has been reported many cases since first laparoscopic a duodenal year 1990 by Mouret et al. Aim and objectives were to study clinical outcomes terms duration surgery, post operative pain, initiation oral feeds, surgical site infection hospital stay. Over 2 period, 2018-2020, 20...