[Giant complicated duodenal ulcer in patient with diabetes mellitus].
Autor: | Poluektov VL; Chair of Faculty-Based Surgery and Urology, Omsk State Medical University, Emergency Care Hospital, Omsk, Russia., Nikitin VN; Chair of Faculty-Based Surgery and Urology, Omsk State Medical University, Emergency Care Hospital, Omsk, Russia., Klipach SG; Chair of Faculty-Based Surgery and Urology, Omsk State Medical University, Emergency Care Hospital, Omsk, Russia., Artemiyeva AA; Chair of Faculty-Based Surgery and Urology, Omsk State Medical University, Emergency Care Hospital, Omsk, Russia. |
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Jazyk: | ruština |
Zdroj: | Khirurgiia [Khirurgiia (Mosk)] 2019 (5), pp. 77-81. |
DOI: | 10.17116/hirurgia201905177 |
Abstrakt: | Treatment of complicated giant duodenal ulcers is one of the most difficult problems in abdominal surgery. Simultaneous course of diabetes mellitus and giant duodenal ulcer has clinical features and requires correction of the treatment. It is presented case report that may be useful regarding accumulation of knowledge about comorbid course of these pathologies. The patient 58-year old was urgently delivered with signs of gastrointestinal bleeding, ulcerative anamnesis for 15 years, diabetes mellitus type 2 for 8 years. Gastroduodenoscopy revealed chronic giant (2.5×3.5 cm) duodenal ulcer complicated by bleeding and subcompensated pyloric stenosis. Endoscopic hemostasis included drug injection and argon-plasma coagulation. Recurrent bleeding occurred after 22 hours. It was performed Billroth II procedure with resection of 2 / |
Databáze: | MEDLINE |
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