Operative Control of Bleeding Ulcer at Posterior Wall of Duodenal Bulb: How I Do It

Authors

  • Darin Lohsiriwat Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Varut Lohsiriwat Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Abstract

The most important cause of major life threatening acute upper gastro intestinal bleeding is peptic ulcer. Bleeding from a large posterior duodenal ulcer which erodes the gastroduodenal artery can be particularly severe. In bleeding peptic ulcers, definitive hemostasis can be achieved by endoscopic treatment in more than 90% of cases. Immediate emergency surgery may be necessary for bleeding refractory or inaccessible to endoscopic control. The authors reviewed surgical anatomy of gastroduodenal artery complex and demonstrated operative technique to control bleeding from an ulcer at posterior wall of duodenal bulb.

References

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Published

2004-12-30

How to Cite

1.
Lohsiriwat D, Lohsiriwat V. Operative Control of Bleeding Ulcer at Posterior Wall of Duodenal Bulb: How I Do It. Thai J Surg [Internet]. 2004 Dec. 30 [cited 2024 Dec. 23];25(4):113-5. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242285

Issue

Vol. 25 No. 4 (2004): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.