A Case of Reperforated Duodenal Ulcer Successfully Ttreated by Laparoscopic Omental Implantation Repair

MIKATA Shoki, IWASE Kazuhiro, HIGAKI Jun, TANAKA Yasushi, YOSHIKAWA Masato, KISHIMOTO Tomono, KAMIIKE Wataru

Bibliographic Information

Other Title

十二指腸潰瘍再穿孔に対する腹腔鏡下大網充填術の1例

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Description

A 49-year-old man undergoing a laparoscopic omental implantation for a perforated duodenal ulcer was prescribed a full dose of H_2 receptor antagonist in October 1997. Six months after surgery, he was underwent endoscopy again, was found to have no duodenal ulcer, and H_2 receptor antagonist medication was stopped. He was admitted for severe epigastric pain and suspected of a reperforated duodenal ulcer after abdominal radiography on June 15, 1998, necessitating emergency surgery. The perforation was found in the anterior wall of the first portion of the duodenum, as previously. A short time after symptoms developed, he underwent laparoscopic omental implantation repair again. In endoscopy 4 months later, although no ulcer was found, H_2 receptor antagonist therapy was continued. No further ulcers have recurred in the 3 years and 11 months since the last surgery. Laparoscopic omental implantation for reperforated duodenal ulcer should therefore be taken into consideration in such cases.

Journal

The Japanese journal of gastroenterological surgery

The Japanese journal of gastroenterological surgery 36 (2), 96-99, 2003-02-01

The Japanese Society of Gastroenterological Surgery

Details 詳細情報について

CRID: 1572824501782230016

NII Article ID: 110001294770

NII Book ID: AN00192066

ISSN: 03869768

Web Site: https://search.jamas.or.jp/link/ui/2003168655

Text Lang: ja

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