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KMID : 0377619750280030361
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Korean Jungang Medical Journal
1975 Volume.28 No. 3 p.361 ~ p.364
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Free Perforation of Anastomotic Ulcers
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Abstract
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In spite of the progress in gastric surgery, the anastomotic or marginal ulcer remains the not too uncommon and dramatic failure of surgery for duodenal ulcers. The acute complication, or free perforation of anastomotic ulcers creating an emergency condition still occurs with sufficient frequency to merit consideration of the therapeutic problems involved.
Two cases of free perforation of anastomotic ulcers treated surgically were presented together with a Emitted review of the literature on the subject.
The first case had undergone emergency partial gastrectomy for bleeding duodenal ulcer 1 year previously at a private clinic. Laparatomy revealed a large amount of inflammatory fluid in the peritoneal cavity and a free perforation of anastomotic ulcer in the efferent loop of jejunum just below the gastrojejunostomy stoma. Another Billroth Il type gastrectomy and total vagotomy was carried out.
The other case had undergone emergency partial gastrectomy for a perforated duodenal ulcer 3 months prior to admission. Laparatomy revealed a free perforation of anastomotic ulcer in the efferent loop of jejunum 3.5cm. Below the stoma. Another Billroth II type gastrectomy and total vagotomy was carried out.
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