[Post-bulbary ulcers].
Authors report 121 cases of post bulbary ulcers between 1969 and 1987. They precise the frequency of complications in this localisations of the ulcerous disease: Hemorrhage: 38% Stenosis: 39.6% Peritonitis through perforation: 9.09% Anatomical reports of the post bulbary area explain the anatomo-pathological aspects made by the above mentioned complications added the biliodigestive fistula and perforations blocked of a surgical treatment. Considering these elements, the authors show the difficulty of a surgical treatment. They suggest choosing the most simple intervention: Treating the ulcer without approaching the ulceron area; namely; making truncal vagotomy and duodenoplasty, that of Finney being the most adapted in case of haemorrhage. On case of a stenosis, with gastric ditension, exclusion gastrectomy is the adequate intervention. The results are good, except two deaths that occurred by cataclysmic ulcerous haemorrhage.
Albaroudi
S
S
Clinique chirurgicale C, C.H.U. Avicenne Rabat, Maroc.
Mjahed
A
A
Ahallat
M
M
Benamar
A
A
Hosni
K
K
Oudanane
M
M
Halhal
A
A
Tounsi
A
A
D000328:Adult; D004381:Duodenal Ulcer / Q000473:pathology* / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014628:Vagotomy
Les ulcères post-bulbaires.