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[Postbulbar hemorrhagic ulcer].

Abstract

Although it is relatively rare (only 10,4% of the cases), post-bulbar ulcers have a rather complicated evolution. The authors have recorded 26 observations with digestive haemorrhage, 3 cases with perforations, 32 stenoses, and pancreatic penetration. These give raise to problems of surgical tactic and surgical technique. The frequency of haemorrhagic complications by post-bulbar ulcers, in relation with overall rates of duodenal ulcers, was of 32,5%. The authors present a study of 26 cases of post-bulbar haemorrhagic ulcers in patients with an average age of 47,4 years. Upper digestive haemorrhage was unique, massive, with vascular collapse (9 cases), without vascular collapse (9 cases)m and it occurred repeatedly in 8 patients. Since haemorrhage through penetrating post-bulbar ulcer in the pancreas is, as a rule, the result of vascular fistulae, the severity of the haemorrhage, the frequency of the relapse (sometimes of cataclysmal proportions), makes mandatory an early intervention, as near as possible to the onset of the haemorrhage. Radical interventions are to be preferred when angio-penetrating and haemorrhagic lesions are demonstrated. The authors have performed exploratory antro-pyloroduodenotomy followed by extensive gastrectomy of the Reichel-Polya type (in 20 cases with 5 deaths), Péan gastroduodenectomy (1 case), exclusion gastrectomy (3 cases with 1 death), and vagotomy associated to pylroplasty and haemostasis "in situ" in 2 cases.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

rum

PubMed ID

6453362

Citation

Seicaru, T, and V Grădinaru. "[Postbulbar Hemorrhagic Ulcer]." Revista De Chirurgie, Oncologie, Radiologie, O.r.l., Oftalmologie, Stomatologie. Chirurgie, vol. 29, no. 5, 1980, pp. 349-55.
Seicaru T, Grădinaru V. [Postbulbar hemorrhagic ulcer]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980;29(5):349-55.
Seicaru, T., & Grădinaru, V. (1980). [Postbulbar hemorrhagic ulcer]. Revista De Chirurgie, Oncologie, Radiologie, O.r.l., Oftalmologie, Stomatologie. Chirurgie, 29(5), 349-55.
Seicaru T, Grădinaru V. [Postbulbar Hemorrhagic Ulcer]. Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1980 Sep-Oct;29(5):349-55. PubMed PMID: 6453362.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Postbulbar hemorrhagic ulcer]. AU - Seicaru,T, AU - Grădinaru,V, PY - 1980/9/1/pubmed PY - 1980/9/1/medline PY - 1980/9/1/entrez SP - 349 EP - 55 JF - Revista de chirurgie, oncologie, radiologie, o.r.l., oftalmologie, stomatologie. Chirurgie JO - Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir VL - 29 IS - 5 N2 - Although it is relatively rare (only 10,4% of the cases), post-bulbar ulcers have a rather complicated evolution. The authors have recorded 26 observations with digestive haemorrhage, 3 cases with perforations, 32 stenoses, and pancreatic penetration. These give raise to problems of surgical tactic and surgical technique. The frequency of haemorrhagic complications by post-bulbar ulcers, in relation with overall rates of duodenal ulcers, was of 32,5%. The authors present a study of 26 cases of post-bulbar haemorrhagic ulcers in patients with an average age of 47,4 years. Upper digestive haemorrhage was unique, massive, with vascular collapse (9 cases), without vascular collapse (9 cases)m and it occurred repeatedly in 8 patients. Since haemorrhage through penetrating post-bulbar ulcer in the pancreas is, as a rule, the result of vascular fistulae, the severity of the haemorrhage, the frequency of the relapse (sometimes of cataclysmal proportions), makes mandatory an early intervention, as near as possible to the onset of the haemorrhage. Radical interventions are to be preferred when angio-penetrating and haemorrhagic lesions are demonstrated. The authors have performed exploratory antro-pyloroduodenotomy followed by extensive gastrectomy of the Reichel-Polya type (in 20 cases with 5 deaths), Péan gastroduodenectomy (1 case), exclusion gastrectomy (3 cases with 1 death), and vagotomy associated to pylroplasty and haemostasis "in situ" in 2 cases. SN - 0377-5003 UR - https://www.unboundmedicine.com/medline/citation/6453362/[Postbulbar_hemorrhagic_ulcer]_ DB - PRIME DP - Unbound Medicine ER -
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