Technique of Antroduodenectomy Without Ulcer Excision as a Safe Alternative Treatment for Bleeding Chronic Duodenal Ulcers

Guinier, D.; Destrumelle, N; Denué, P.O.; Mathieu, P; Heyd, Bruno; Mantion, Georges

doi:10.1007/s00268-009-9953-1

Cited by 9 publications

(3 citation statements)

References 14 publications

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“…suturing closure of the ulcer bed, cannot control bleeding, gastrectomy is one of the choices for bleeding control. There is a report of a case series of the Dubois operation being useful for chronic bleeding duodenal ulcer [150].…”

Section: Surgical Treatmentmentioning

confidence: 99%

Evidence-based clinical practice guidelines for peptic ulcer disease 2015

et al. 2016

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The Japanese Society of Gastroenterology (JSGE) revised the evidence-based clinical practice guidelines for peptic ulcer disease in 2014 and has created an English version. The revised guidelines consist of seven items: bleeding gastric and duodenal ulcers, Helicobacter pylori (H. pylori) eradication therapy, non-eradication therapy, drug-induced ulcer, non-H. pylori, non-nonsteroidal anti-inflammatory drug (NSAID) ulcer, surgical treatment, and conservative therapy for perforation and stenosis. Ninety clinical questions (CQs) were developed, and a literature search was performed for the CQs using the Medline, Cochrane, and Igaku Chuo Zasshi databases between 1983 and June 2012. The guideline was developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. Therapy is initially provided for ulcer complications. Perforation or stenosis is treated with surgery or conservatively. Ulcer bleeding is first treated by endoscopic hemostasis. If it fails, surgery or interventional radiology is chosen. Second, medical therapy is provided. In cases of NSAID-related ulcers, use of NSAIDs is stopped, and anti-ulcer therapy is provided. If NSAID use must continue, the ulcer is treated with a proton pump inhibitor (PPI) or prostaglandin analog. In cases with no NSAID use, H. pylori-positive patients receive eradication and anti-ulcer therapy. If first-line eradication therapy fails, second-line therapy is given. In cases of non-H. pylori, non-NSAID ulcers or H. pyloripositive patients with no indication for eradication therapy, non-eradication therapy is provided. The first choice is PPI therapy, and the second choice is histamine 2-receptor antagonist therapy. After initial therapy, maintenance therapy is provided to prevent ulcer relapse.

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Section: Surgical Treatmentmentioning

confidence: 99%

Evidence-based clinical practice guidelines for peptic ulcer disease 2015

et al. 2016

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“…In our case, we performed an incision from the anterior wall of the duodenum to the gastric pylorus and sutures on the bleeding site with the aim of removing the extensive hematoma and stopping the ulcer bleeding. Commonly known surgical treatments for DU include PD, gastrointestinal reconstruction with ulcer resection, and Dubois surgery [ 15 , 16 ]. However, because the ulcer in our case was shallow and had not spread to major blood vessels or the pancreas, we were able to use the less invasive surgical approach outlined above and had no serious postoperative problems.…”

Section: Discussionmentioning

confidence: 99%

Damage Control Surgery for Duodenal Ulcer Bleeding With Massive Hematoma and Perforation Due to Over-the-Scope Clip (OTSC)

Harada,

Kojima,

Yamana

et al. 2024

Cureus

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Due to the advances in endoscopic technology, surgery for duodenal ulcer (DU) bleeding has decreased, although surgery is still necessary for more complicated cases. The concept of damage control surgery (DCS) has been established in the field of trauma, and a simple surgical approach may be preferable in serious cases such as uncontrolled DU bleeding. We present a successful case of bleeding with massive hematoma and perforation of the duodenum due to an over-the-scope clip that was treated by a less invasive surgical approach with consideration of the DCS.

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“…In the article by Guinier et al, from France, the authors attribute the ''discovery'' of the antroduodenectomy operation, during which the stomach is anastomosed to the duodenum ''over'' the excluded bleeding duodenal ulcer, to Dubois in 1971 [1]. However, the fact is that exactly the same technique, for the same indication, had been described in 1968 by Dr. Erwin J. Fuerst from the United States [2].…”

mentioning

confidence: 99%

Technique of Antroduodenectomy Without Ulcer Excision as a Safe Alternative Treatment for Bleeding Chronic Duodenal Ulcers

Schein

2009

World j. surg.

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To the Editor,In the article by Guinier et al., from France, the authors attribute the ''discovery'' of the antroduodenectomy operation, during which the stomach is anastomosed to the duodenum ''over'' the excluded bleeding duodenal ulcer, to Dubois in 1971 [1]. However, the fact is that exactly the same technique, for the same indication, had been described in 1968 by Dr. Erwin J. Fuerst from the United States [2]. I adopted this technique during the late 1980s [3], and since then it has proved to be an excellent option whenever a lesser, non-resective procedure, is not practical. I thank the authors for reminding the surgical community that the best way to avoid a difficult duodenal stump is to create a duodenogastrostomy. However, they should have acknowledged the earlier contribution of Dr. Fuerst. Yes, there were also a few surgical innovators who were not French.

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Technique of Antroduodenectomy Without Ulcer Excision as a Safe Alternative Treatment for Bleeding Chronic Duodenal Ulcers

Abstract: The Dubois antroduodenectomy is a safe and effective surgical procedure for the treatment of bleeding chronic duodenal ulcers. The number of fatal outcomes among patients with this condition remains high, particularly in older and vulnerable patients experiencing massive bleeding.

Cited by 9 publications

References 14 publications

Evidence-based clinical practice guidelines for peptic ulcer disease 2015

Evidence-based clinical practice guidelines for peptic ulcer disease 2015

Damage Control Surgery for Duodenal Ulcer Bleeding With Massive Hematoma and Perforation Due to Over-the-Scope Clip (OTSC)

Technique of Antroduodenectomy Without Ulcer Excision as a Safe Alternative Treatment for Bleeding Chronic Duodenal Ulcers

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