[Closure of the duodenal stump in low ulcers penetrating the pancreas].
The paper reports on a method of closing the duodenal stump, with maintenance of the ulcerous crater by sectioning the duodenum at the level of penetration. At closure, the ventral duodenum wall is sutured at the arterio-superior circumference of the sclerous ring of the penetration with nonabsorbable suture. The in-pocketing is achieved by one or two bursae. The thickness of the pancreatic capsule offers enough stuff for such a closure by the sclerous-inflammatory process. The ulcerous crater is cured in several weeks by concentric epithelialization. Healings without major complications were obtained. The tardy results were good; in the case of repeated surgeries for other affections, the duodenal stump appeared supple, without pathological modifications. The method is good when, owing to the advanced stage of the disease, a more conservative intervention cannot be made, and after the resection, a duodenal stump at a deeply situated, penetrating ulcer has to be closed.
Gozner
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Secţia de Chirurgie, Spitalul Judeţean Satu Mare.
D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D008722:Methods; D010182:Pancreatic Diseases / Q000209:etiology / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques
Inchiderea bontului duodenal în ulcerele joase penetrante în pancreas.