Giant duodenal ulcer

Morrow, Charles E.; Mulholland, Michael W.; Dunn, Daniel H.; Schwartz, Michael L.; Sutherland, David E.R.; Goodale, Robert L.; Humphrey, Edward W.; Najarían, John S.

doi:10.1016/0002-9610(82)90012-5

Cited by 13 publications

(2 citation statements)

References 7 publications

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“…The extensive involvement and destruction of the duodenum may preclude attempts at antrectomy and safe duodenal stump closure. 13 Other treatment modalities reported in the literature include serosal patch technique, 8 jejunal pedicle graft, 14 free omental plug in the form of a mushroom, 9,15 vagotomy and gastroenterostomy, 11,13 Bancroft resection, 12,16 and catheter duodenostomy 17 However, the proper surgical procedure for giant duodenal ulcers remains controversial.…”

Section: Discussionmentioning

confidence: 99%

Gastric Body Partition for Giant Perforated Peptic Ulcer in Critically Ill Elderly Patients

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Gastric Body Partition for Giant Perforated Peptic Ulcer in Critically Ill Elderly Patients

et al. 2006

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“…Undoubtedly, these ulcers are prone to the complications of bleeding and perforation and pose considerable problems for the surgeon. Of 28 such patients treated surgically, Morrow et al 21 report a complication rate of 43 per cent and an 11 per cent mortality. Of the five patients who rebled after surgery in our series, four bled from giant chronic DUs.…”

Section: Discussionmentioning

confidence: 99%

Surgery for bleeding peptic ulceration in a district general hospital: morbidity and mortality in one year

Jamison

1986

Int J Clinical Practice

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Choice of emergency operative procedure for bleeding duodenal ulcer

Hunt

McIntyre

1990

Journal of British Surgery

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In a consecutive series of 201 emergency operations in patients with bleeding duodenal ulcer the size of the ulcer was the only factor that showed a significant correlation with the procedure chosen. Vagotomy, pyloroplasty and underrunning of the bleeding point was performed in 101 cases with ten deaths (10 per cent), partial (Billroth II) gastrectomy in 81 cases with ten deaths (12 per cent), and vagotomy and antrectomy in 16 cases with one death (6 per cent). A patient was more likely to be treated by partial gastrectomy if a giant ulcer with an internal diameter of greater than or equal to 2 cm was found. The results suggest that while vagotomy and pyloroplasty, combined with a direct attack on the bleeding point or excision of an anterior ulcer is an acceptable standard emergency operation for bleeding duodenal ulcer, gastric resection proved to be a satisfactory alternative procedure and should be considered in the technically difficult case with a very large ulcer. A giant ulcer was present in 37 per cent of cases coming to surgery.

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Giant duodenal ulcer

Cited by 13 publications

References 7 publications

Gastric Body Partition for Giant Perforated Peptic Ulcer in Critically Ill Elderly Patients

Gastric Body Partition for Giant Perforated Peptic Ulcer in Critically Ill Elderly Patients

Surgery for bleeding peptic ulceration in a district general hospital: morbidity and mortality in one year

Choice of emergency operative procedure for bleeding duodenal ulcer

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