[The penetrating duodenal ulcer. Operative technique and postoperative complications (author's transl)].Langenbecks Arch Chir. 1975 Nov 17; 340(2):117-25.LA
The results of 133 gastric resections for penetrating duodenal ulcer are reported. Because of the postoperative complications (acute hemorrhagic pancreatitis, duodenal stump insufficiency, icterus and intraluminal postoperative bleeding) in future only the atypical closure of the duodenal stump according to the method of Nissen-Bsteh should be carried out. A bleeding ulcer should be operated within 48 hrs. If the bleeding needs more than 2500 ml blood substitute, this means a indication for a immediate operation.