保留胰腺的十二指肠切除术治疗难治性消化性溃疡引起的吻合性十二指肠溃疡:附技术说明和文献复习1例报告。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI:10.1093/jscr/rjaf327
Simone Giungato, Concetta Lozito, Romana Palazzo, Camilla Dimito, Angelo Santo Pepe
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引用次数: 0

摘要

消化性溃疡是一种常见病,据1984年的一项估计,全世界约有400万人患有此病。然而,双前后溃疡并发穿孔(所谓的“接吻溃疡”)是罕见的,并且具有很高的发病率和死亡率,是外科手术的重大挑战。这种情况给外科手术带来了挑战,并造成了非常高的发病率和死亡率。本文所述的一位76岁男性因十二指肠消化性溃疡穿孔需要紧急治疗。总的来说,三个手术是对单个十二指肠前消化性溃疡的反应,最终导致前/后接吻溃疡。保留胰腺的十二指肠切除术作为最后的尝试,同时进行乳头的x线定位。这一罕见的十二指肠消化性溃疡病例强调了在初始手术干预无效后采用更明确方法的可行性和重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pancreas-sparing duodenectomy for kissing duodenal ulcers spawned by refractory peptic ulcer disease: case report with technical note and literature review.

Peptic ulcer disease is a common condition that affects ~4 million people worldwide, according to a 1984 estimate. However, concomitant perforation of dual anterior and posterior ulcerations (so-called 'kissing ulcers') is rare and presents significant surgical challenges with high morbidity and mortality. Such scenarios present surgical challenges and impose very high-level morbidity and mortality. A 76-year-old man described herein required emergency treatment for duodenal peptic ulcer perforation. Overall, three operations took place in response to a single anterior peptic ulcer of duodenum that culminated in anterior/posterior kissing ulcers. Pancreas-sparing duodenectomy was performed as a final attempt, along with radiographic localisation of the papilla. This rare instance of duodenal peptic ulceration underscores the feasibility and importance of a more definitive approach after ineffective initial surgical intervention.

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CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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