Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1998-6-18
|
| pubmed:abstractText |
The majority of our patients with bleeding duodenal ulcer responded to endoscopic injection treatment. However, in six patients admitted during a 2 1/2-year period, we were forced to do emergency surgery to control the hemorrhage (three with failed injection and persisting exsanguination from a brisk bleeder and three rebled soon after apparent initial hemostasis). We performed an innovative procedure: pyloroplasty was done after oversewing the arterial bleeder in the duodenum through a small transverse wound in the right upper quadrant. The wound was then closed around a 10-mm trocar sheath. With the addition of three more ports, a truncal vagotomy was completed laparoscopically. Recovery was rapid and uneventful in all six cases; postoperative pain was minimal. The mean operative time was 85 minutes. We believe that, in a selected group of patients, laparoscopic vagotomy and open pyloroplasty through an essentially extended port wound (as described in detail) is an expedient and effective procedure in the emergency setting.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
1051-7200
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
8
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
127-31
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9566567-Adult,
pubmed-meshheading:9566567-Duodenal Ulcer,
pubmed-meshheading:9566567-Emergencies,
pubmed-meshheading:9566567-Endoscopy, Gastrointestinal,
pubmed-meshheading:9566567-Female,
pubmed-meshheading:9566567-Follow-Up Studies,
pubmed-meshheading:9566567-Hemostatic Techniques,
pubmed-meshheading:9566567-Histamine H2 Antagonists,
pubmed-meshheading:9566567-Humans,
pubmed-meshheading:9566567-Injections, Intralesional,
pubmed-meshheading:9566567-Laparoscopes,
pubmed-meshheading:9566567-Laparoscopy,
pubmed-meshheading:9566567-Male,
pubmed-meshheading:9566567-Middle Aged,
pubmed-meshheading:9566567-Pain, Postoperative,
pubmed-meshheading:9566567-Patient Satisfaction,
pubmed-meshheading:9566567-Peptic Ulcer Hemorrhage,
pubmed-meshheading:9566567-Prospective Studies,
pubmed-meshheading:9566567-Pylorus,
pubmed-meshheading:9566567-Time Factors,
pubmed-meshheading:9566567-Treatment Failure,
pubmed-meshheading:9566567-Vagotomy, Truncal
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Laparoscopic vagotomy and open pyloroplasty for bleeding duodenal ulcer not controlled endoscopically.
|
| pubmed:affiliation |
Department of Surgery, Yan Chai Hospital, Tsuen Wan, Hong Kong.
|
| pubmed:publicationType |
Journal Article
|