In elective surgery of duodenal ulcers (DU), postoperative mortality reaches 4–6%, with perforation the ulcer – 5–8%, bleeding 20–30%. At same time, leading cause is failure stump, which occurs in 0.4–4.4% patients, significantly increases gastric cancer due to “difficult” ulcers. The authors have developed improved methods and techniques that ensure safety surgical intervention case DU facilit...

Background: Refractory peptic ulcers are in the stomach or duodenum that do not heal after eight to twelve weeks of medical/surgical treatment those associated with complications despite medical tssreatment. We herein present a case 44 year old man recurrent perforated duodenal ulcer requiring emergent surgical intervention.

OBJECTIVES Helicobacter pylori infection induces selective reduction of the number of antral D-cells and results in abnormal regulation of serum gastrin secretion. The purpose of this study was to investigate the relationship between H. pylori infection and the numbers of G-cells and D-cells. METHODS The numbers of antral G-cells and D-cells, the ratio of G-cells to D-cells and fasting serum ...

Patients 123 patients who were 18–80 years of age (mean age 70 y, 72% men) and had ulcers (gastric, duodenal, or gastroduodenal), were receiving low dose aspirin for > 1 month before developing ulcers, had a disease such as stroke or ischaemic heart disease that required long term continuous treatment with low dose aspirin, and had H pylori infection that was objectively diagnosed. Exclusion cr...

Perforated ulcers are a rare cause of abdominal pain, and may not be considered when pain is localized to the right lower quadrant (RLQ). This case highlights an unusual presentation of a perforated duodenal ulcer that presented with RLQ pain, which has been described as Valentino’s Syndrome. Valentino’s Syndrome occurs when gastric or duodenal fluids collect in the right paracolic gutter causi...