Gastroenterology

Bleeding duodenal ulcer repair should be endoscopic if valve surgery is recent

Published in TB and Outbreaks Week, December 23rd, 2003

Patients with new aortic grafts and the need for bleeding duodenal ulcer surgery should undergo endoscopic procedures.

"Aortic graft infection is one of the most dreaded surgical complications. In the perioperative patient with fresh aortic prosthesis, this is a particularly complex problem. Opening the bowel changes an operation to a clean-contaminated or contaminated case," investigators in the United States report.

"This increases the risk of all infectious complications in the patient. Theoretically, our method of repair reduces the risk of infection by eliminating the duodenotomy. The direct visualization with the endoscope replaces the need to...

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Source: TB and Outbreaks Week (2003-12-23)

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