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, Vol. 397, No. 8, 8, 2012, p. 1243-1249.

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@article{91565ed7853e48ad8e6383229aead278,
title = "Management of the difficult duodenal stump in penetrating duodenal ulcer disease: a comparative analysis of duodenojejunostomy with {"}classical{"} stump closure (Nissen-Bsteh).",
abstract = "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.",
keywords = "Adult, Humans, Male, Aged, Female, Middle Aged, Reoperation, Postoperative Complications, Anastomosis, Surgical/adverse effects, Duodenal Ulcer/*surgery, Duodenum/*surgery, Jejunum/*surgery, Peptic Ulcer Perforation/*surgery, *Wound Closure Techniques/adverse effects, Adult, Humans, Male, Aged, Female, Middle Aged, Reoperation, Postoperative Complications, Anastomosis, Surgical/adverse effects, Duodenal Ulcer/*surgery, Duodenum/*surgery, Jejunum/*surgery, Peptic Ulcer Perforation/*surgery, *Wound Closure Techniques/adverse effects",
author = "Yogesh Vashist and Yekebas, {Emre F.} and Florian Gebauer and Michael Tachezy and Kai Bachmann and Alexandra K{\"o}nig and Asad Kutup and Izbicki, {Jakob R.}",
year = "2012",
language = "English",
volume = "397",
pages = "1243--1249",
journal = "LANGENBECK ARCH SURG",
issn = "1435-2443",
publisher = "Springer",
number = "8",

}

RIS

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 -