title: Variations reported in surgical practice for bleeding duodenal ulcers.
abstract: BACKGROUND
  To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed.
  
  
  METHODS
  FAC (n = 33) and RES (n = 42) were surveyed regarding their surgery of choice between oversew (OS) or acid-reducing procedures (ARPs) in 4 scenarios. FAC who had recertified in general surgery (RECERT) were compared with young FAC who had not and RES (RES/young FAC). Two-group comparisons were performed.
  
  
  RESULTS
  Seventy-three percent of FAC and 62% of RES responded. RES perform more ARPs on hemodynamic (HD), unstable, elderly patients than FAC (P = .013). On the elderly patient, RES/young FAC perform more ARPs in a HD stable (P = .07) and unstable condition (P = .18). HD unstable patients would undergo OS more frequently than stable patients (P = .016).
  
  
  CONCLUSIONS
  In this survey, the choice of optimal surgical procedure for an acute bleeding ulcer varies among surgeons based on years of surgical experience and individual patient factors.
authors.affiliation: Division of General Surgery, Department of Surgery, University of Utah School of Medicine, 30 North 1900 East, Salt Lake City, UT 84132, USA. Brian.Reuben@hsc.utah.edu
authors.forename: Brian C
authors.initials: BC
authors.lastname: Reuben
authors.forename: Leigh A
authors.initials: LA
authors.lastname: Neumayer
mesh_terms: D000369:Aged, 80 and over; D002568:Certification; D004381:Duodenal Ulcer / Q000150:complications* / Q000601:surgery*; D005180:Faculty, Medical; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D010818:Practice Patterns, Physicians'; D011708:Pylorus / Q000601:surgery; D013536:Suture Techniques; D014628:Vagotomy