title: [Necessary technic. Double ligation of the duodenal stump without plugging].
abstract: Gastrectomy with ulcer exclusion, associated to double ligature of the duodenal stump without infundation is a technique easy to perform in ulcers with difficult duodenum. This technique was successfully applied in 34 patients with sub-bulbar chronic duodenal ulcers (with norm- or hypoacidity), complicated by penetrating bilio-pancreatic callous lesions (one case of pancreatic fistula was recorded, that was treated with X-ray therapy). In another 10 patients with complicated ulcers (perforations - 5 cases, bleeding  associated with perforation - 2 cases) the authors used the same technique. Two deaths were recorded: through generalized peritonitis in one case and through duodenal fistula, melena and peritonitis in another case.
mesh_terms: D004381:Duodenal Ulcer / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D013536:Suture Techniques
vernacular_title: Tehnică de necesitate. Dubla ligatură a bontului duodenal fără înfundare.