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http://dx.doi.org/10.4166/kjg.2018.72.5.262

Covered Self-expandable Metallic Stent Insertion as a Rescue Procedure for Postoperative Leakage after Primary Repair of Perforated Duodenal Ulcer  

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)
Publication Information
The Korean Journal of Gastroenterology / v.72, no.5, 2018 , pp. 262-266 More about this Journal
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
Duodenal ulcer; Peptic ulcer perforation; Self expandable metallic stents;
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