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?
Correct Answer: Duodenotomy, Truncal vagotomy, ligation of bleeding vessels and Pyloroplasty
Description: For patients bleeding from duodenal ulcers, truncal vagotomy, pyloroplasty, and oversewing of the bleeding vessel is the most widely used operation. Ref: Endoscopy of the Upper GI Tract: A Training Manual edited by Behold Block, Guido Schachschal, Hamut Schmidt (M.D.),2004, Page 151 - 154; Esophagus, Stomach, Duodenum edited by Karl Kremer, 1989, Page 237.
Category:
Surgery
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