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CONTROLLED DUODENOSTOMY FOR DIFFICULT DUODENAL STUMP
Author(s) -
Ng E. K. W.,
Chung S. C. S.,
Li A. K. C.
Publication year - 1995
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.1445-2197.1995.tb00652.x
Subject(s) - medicine , gastrectomy , surgery , duodenal ulcer , duodenum , cancer
Three patients with bleeding duodenal ulcer underwent emergency Pólya's gastrectomy for haemostasis after failed endoscopic treatment. Intra‐operatively. it was impossible to close the duodenal stump safely because of surrounding fibrosis and scarring. Controlled lateral wall duodenostomy was performed as an attempt to lower the intraluminal pressure of the afferent loop and good results had been observed in all three patients.