Duodenal Stump Closure – Still a Live Problem. A Case Report

Czech version

Authors: Růžička; P. ^*; J. Šváb ^*; J. Hořejš ^**
Authors‘ workplace: I. chirurgická klinika VFN a 1. LF UK Praha, přednosta doc. MUDr. J. Šváb, CSc. ^*; Radiodiagnostická klinika VFN a 1. LF UK Praha, přednosta doc. MUDr. J. Daneš, CSc. ^**
Published in: Rozhl. Chir., 2005, roč. 84, č. 9, s. 456-462.
Category: Monothematic special - Original

Overview

Included is a case study of duodenal peptic ulcer bleeding. The patient was treated by Finsterer-Bancroft modification of II-type gastric resection. An early reoperation was indicated by reason of duodenal stump leak. The situation solved by means of duodenostomy. The authors discuss causes of duodenal stump insufficiency. Possibilities of prevention of this complication – which are cited in literature – are mentioned. Duodenostomy is a legitimate optimal solution of duodenal stump suture insufficiency.

Key words:
complicated peptic ulcer disease – II-type gastric resection – difficult duodenum – duodenal stump suture leak – duodenostomy

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Article was published in

Perspectives in Surgery

2005 Issue 9