The Korean Journal of Gastroenterology (대한소화기학회지)

The Korean Society of Gastroenterology (대한소화기학회)
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Covered Self-expandable Metallic Stent Insertion as a Rescue Procedure for Postoperative Leakage after Primary Repair of Perforated Duodenal Ulcer

십이지장 궤양 천공 단순 봉합수술 후 완전 피막형 자가확장 금속 스텐트 삽입술로 치료된 봉합 부위 누출

  • Yoo, Young Jin (Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Yong Kang (Division of Gastroenterology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Joong Ho (Division of Gastroenterology, Department of Surgery, National Health Insurance Service Ilsan Hospital) ;
  • Lee, Hyung Soon (Division of Gastroenterology, Department of Surgery, National Health Insurance Service Ilsan Hospital)
  • 유영진 (연세대학교 의과대학 외과학교실) ;
  • 이용강 (국민건강보험 일산병원 소화기내과) ;
  • 이중호 (국민건강보험 일산병원 외과) ;
  • 이형순 (국민건강보험 일산병원 외과)
  • Received : 2018.04.11
  • Accepted : 2018.05.23
  • Published : 2018.11.25
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Abstract

Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. However, many of these choices are complicated surgical procedures requiring prolonged general anesthesia that may increase the chances of morbidity and mortality. Several recent reports have demonstrated postoperative leakage after primary repair of a perforated duodenal ulcer treated with endoscopic insertion using a covered self-expandable metallic stent, with good clinical results. We report a case with postoperative leakage after primary repair of a perforated duodenal ulcer treated using a covered self-expandable metallic stent.

Keywords

References

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