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KMID : 0377520150400020025
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Chung-Ang Journal of Medicine
2015 Volume.40 No. 2 p.25 ~ p.29
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A Case of Recurrent Gastric Ulcer with Gastroduodenal Fistula
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Lee Moo-Hyun
Park Kyung-Deuk
Lee Ju-Young
Min In-Sun
Kim Se-YOung
Kang Sung-Hwan
Choi Jeong-Woo
Kim Ho-Jung
Lee Chang-Soo
Koh Hyeon-Cheol
Cho Hyun-Jung
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Abstract
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Most peptic ulcers respond to treatment with conventional therapy including antimicrobial and antisecretory agents. However, in some individuals, the ulcer recurs following successful initial treatment, which means the refractory ulcer. We report a case with a gastric ulcer at antrum, which had been treated with conventional regimen. After conventional treatment, we confirmed that the ulcer was improving through the endoscopy. However, after a short time, he came back to emergency room with acute ill-look appearance. He was pale and anemic status. Emergency endoscopy was performed and we found that the gastric ulcer had a gastroduodenal fistula without peritonitis.
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KEYWORD
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Refratory gastric ulcer, Ulcer complication, Gastroduodenal fistula
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