Surgical Management of Ulcer Disease

Martin, Ronald F.

doi:10.1016/j.suc.2005.05.002

Cited by 19 publications

(10 citation statements)

References 25 publications

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“…[7][8][9][10][11] Up to 30% risk of mortality can be seen in surgery for perforated ulcer. [12,13] The factors that could be associated with mortality and morbidity in this group of patients have been the subject of many retrospective and prospective studies.…”

Section: Resultsmentioning

confidence: 99%

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

Gökakın

Kurt²,

Atabey³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇMedikal tedavi peptik ülser perforasyon (PÜP) oranlarının azalmasında önemli bir rol oynamıştır. Bu çalışmada, Ramazan ayının PÜP üzerine olan etkisi değerlendirildi. GEREÇ VE YÖNTEMPÜP nedeniyle 1999-2009 yılları arasında ameliyat edilen 229 hastanın dosyaları geriye dönük olarak analiz edildi. Hastalar iki gruba ayrıldı. Grup I (n=188) Ramazan ayı dışında ameliyat edilen hastalar, Grup II (n=41) Ramazan ayında, müslümanların oruç tutma döneminde ameliyat edilen hastalar. Grup II'deki hastalar oruç tutma süre-lerine göre de değerlendirildi. BULGULAR

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Section: Resultsmentioning

confidence: 99%

THE IMPACT of RAMADAN on PEPTIC ULCER PERFORATION

Gökakın

Kurt²,

Atabey³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

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“…4). Insertion of the stapler anvil into the duodenum requires leaving a sufficiently lengthy duodenal segment, rarely possible in surgery for ulcer disease [11]. …”

Section: Gastroduodenostomy According To Pean or Billroth Imentioning

confidence: 99%

Reconstruction after gastrectomy: Which technique is best?

Piessen

Triboulet

Mariette

2010

Journal of Visceral Surgery

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Several reconstruction techniques are possible after gastrectomy. The best reconstruction is one, that maintains satisfactory nutritional status and quality of life while keeping postoperative morbidity as low as possible. The aim of this study was to describe the different reconstruction techniques that can be proposed after distal and total gastrectomy, heeding to the French guidelines on the use of mechanical sutures in these indications. We then conducted a review of randomized trials dealing with reconstruction techniques after distal and total gastrectomy. After distal gastrectomy, Roux-en-Y reconstruction seems superior to Billroth I and Billroth II reconstructions in terms of functional outcomes and long-term endoscopic results and should be chosen in patients with benign disease or superficial tumors. Otherwise, Billroth II should be preferred over Billroth I reconstruction because of lower postoperative morbidity and better oncologic margins. After total gastrectomy, Roux-en-Y reconstruction remains the easiest solution, with satisfactory functional results. Addition of a pouch reservoir after Roux-en-Y reconstruction seems to improve short-term functional outcome after total gastrectomy with better potential for nutritional intake. In the long-term, quality of life seems better mainly in patients with small-resected tumors associated with a good prognosis.

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“…4). La mise en place de l'enclume dans le duodénum impose de laisser un long segment duodénal disponible, ce qui est rarement possible dans la chirurgie de l'ulcère [11].…”

Section: L'anastomose Gastroduodénale Selon Péan Ou Billroth Iunclassified

“…L'anastomose gastrojéjunale sur anse montée en Y L'anastomose gastrojéjunale sur anse montée en Y après gastrectomie partielle reste le plus sûr moyen d'éviter le reflux duodénogastrique [11,13]. Une vagotomie tronculaire ou sélective est habituellement associée, afin de prévenir la survenue d'un ulcère anastomotique [13,14], sans que cette attitude n'ait été comparée à l'administration d'un traitement par inhibiteur de la pompe à protons au long cours.…”

Section: L'anastomose Gastrojéjunale Selon Billroth IIunclassified