Premium
UNUSUAL PENETRATING PEPTIC ULCERS
Author(s) -
Wilson Edward
Publication year - 1955
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1955.tb05120.x
Subject(s) - medicine , duodenum , peptic ulcer , gastrectomy , peptic , stomach , common bile duct , surgery , resection , bile duct , general surgery , gastroenterology , cancer
Summary Peptic ulcers penetrating the liver, spleen, and common bile duct are described. It is concluded that in cases of extreme difficulty the initial operative treatment of a penetrating ulcer should be limited to excision of the edges of the ulcer and closure of the resultant defect in the stomach or duodenum, a definitive gastrectomy being performed subsequently. In addition, it is suggested that in some other cases of penetrating peptic ulcer Wangensteen's tubular gastric resection with transverse gastroplasty has a place as the initial procedure.