Management of the difficult duodenal stump in penetrating duodenal ulcer disease: a comparative analysis of duodenojejunostomy with "classical" stump closure (Nissen-Bsteh).
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Management of the difficult duodenal stump in penetrating duodenal ulcer disease: a comparative analysis of duodenojejunostomy with "classical" stump closure (Nissen-Bsteh). / Vashist, Yogesh; Yekebas, Emre F.; Gebauer, Florian; Tachezy, Michael; Bachmann, Kai; König, Alexandra; Kutup, Asad; Izbicki, Jakob R.
in: LANGENBECK ARCH SURG, Jahrgang 397, Nr. 8, 8, 2012, S. 1243-1249.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Management of the difficult duodenal stump in penetrating duodenal ulcer disease: a comparative analysis of duodenojejunostomy with "classical" stump closure (Nissen-Bsteh).
AU - Vashist, Yogesh
AU - Yekebas, Emre F.
AU - Gebauer, Florian
AU - Tachezy, Michael
AU - Bachmann, Kai
AU - König, Alexandra
AU - Kutup, Asad
AU - Izbicki, Jakob R.
PY - 2012
Y1 - 2012
N2 - Duodenal stump insufficiency after surgery for penetrating gastroduodenal ulcer is associated with substantial mortality. "Classical" technique of closing a difficult duodenal stump (Nissen-Bsteh) has, up to now, not been compared with duodenojejunostomy (DJ) in larger patient sets. This also refers to the potential benefit of a gastric and biliary diversion under such conditions. The aim of the present study was to compare classical duodenal closure (CC) with DJ and to evaluate the impact of gastric and biliary diversion on postoperative outcome after surgery for penetrating, high-risk duodenal ulcer in a matched control study.
AB - Duodenal stump insufficiency after surgery for penetrating gastroduodenal ulcer is associated with substantial mortality. "Classical" technique of closing a difficult duodenal stump (Nissen-Bsteh) has, up to now, not been compared with duodenojejunostomy (DJ) in larger patient sets. This also refers to the potential benefit of a gastric and biliary diversion under such conditions. The aim of the present study was to compare classical duodenal closure (CC) with DJ and to evaluate the impact of gastric and biliary diversion on postoperative outcome after surgery for penetrating, high-risk duodenal ulcer in a matched control study.
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Reoperation
KW - Postoperative Complications
KW - Anastomosis, Surgical/adverse effects
KW - Duodenal Ulcer/surgery
KW - Duodenum/surgery
KW - Jejunum/surgery
KW - Peptic Ulcer Perforation/surgery
KW - Wound Closure Techniques/adverse effects
KW - Adult
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Middle Aged
KW - Reoperation
KW - Postoperative Complications
KW - Anastomosis, Surgical/adverse effects
KW - Duodenal Ulcer/surgery
KW - Duodenum/surgery
KW - Jejunum/surgery
KW - Peptic Ulcer Perforation/surgery
KW - Wound Closure Techniques/adverse effects
M3 - SCORING: Journal article
VL - 397
SP - 1243
EP - 1249
JO - LANGENBECK ARCH SURG
JF - LANGENBECK ARCH SURG
SN - 1435-2443
IS - 8
M1 - 8
ER -