title: [Endoscopic nasobiliary and nasopancreatic drainage contributing to healing of duodenal ulcer perforation: a case report].
abstract: A 75-year-old man with vomiting and right abdominal pain was admitted to the Department of Surgery in our hospital. With a diagnosis of perforated duodenal ulcer, he was treated conservatively. On the day 8 of hospitalization, his general condition worsened and he underwent surgery. During operation, the perforated duodenal ulcer and paraduodenal fluid collection was observed, and percutaneous drainage was accordingly established. After this procedure, renal dysfunction was exacerbated and he was transferred to our department for endoscopic treatment. On day 28 of hospitalization, nasobiliary and nasopancreatic drainage was administered. Renal dysfunction gradually improved, and healing of the perforated duodenal ulcer was recognized on day 93. On day 112, the patient was discharged.
authors.affiliation: Department of Gastroenterology, Shizuoka General Hospital.
authors.forename: Kohei
authors.initials: K
authors.lastname: Enokida
authors.forename: Masataka
authors.initials: M
authors.lastname: Kikuyama
authors.forename: Takafumi
authors.initials: T
authors.lastname: Kurokami
authors.forename: Naofumi
authors.initials: N
authors.lastname: Shirane
authors.forename: Haruna
authors.initials: H
authors.lastname: Aoyama
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Aoyama
authors.forename: Tatsunori
authors.initials: T
authors.lastname: Sato
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Taki
mesh_terms: D000368:Aged; D004322:Drainage; D004381:Duodenal Ulcer / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020698:Duodenoscopes; D004386:Duodenum / Q000293:injuries*; D006801:Humans; D008297:Male; D010179:Pancreas; D014945:Wound Healing