A 30 year old male patient presented with massive hemetemesis. On upper GI scopy, 3×2 cm ulcer was seen on the posterior aspect of 1st pa of the duodenum. Bleeding vessel seen, but could not be controlled endoscopically. Pulse rate 100, BP 110/70, Hb 10 gms% after blood transfusion. What will be the next line of management?
A 30 year old male patient presented with massive hemetemesis. On upper GI scopy, 3×2 cm ulcer was seen on the posterior aspect of 1st pa of the duodenum. Bleeding vessel seen, but could not be controlled endoscopically. Pulse rate 100, BP 110/70, Hb 10 gms% after blood transfusion. What will be the next line of management?
💡 Explanation
A 30 year old male patient presented with massive hemetemesis. On upper GI scopy, 3x2 cm ulcer was seen on the posterior aspect of 1st pa of the duodenum. Bleeding vessel seen, but could not be controlled endoscopically. Pulse rate 100, BP 110/70, Hb 10 gms% after blood transfusion. What will be the next line of management?
✓ Correct Answer: B. Duodenotomy, Truncal vagotomy, ligation of bleeding vessels and Pyloroplasty
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