A 30 years old male presented with massive hematemesis. A 2 x 2 cm ulcer was visualized on upper GI endoscopy on the posterior aspect of first pa of duodenum. The bleeding vessel was visualized but bleeding could not be controlled endoscopically. Blood transfusion was done and patient was planned for surgery. Which of the following would be best surgical management?
A 30 years old male presented with massive hematemesis. A 2 x 2 cm ulcer was visualized on upper GI endoscopy on the posterior aspect of first pa of duodenum. The bleeding vessel was visualized but bleeding could not be controlled endoscopically. Blood transfusion was done and patient was planned for surgery. Which of the following would be best surgical management?
💡 Explanation
A 30 years old male presented with massive hematemesis. A 2 x 2 cm ulcer was visualized on upper GI endoscopy on the posterior aspect of first pa of duodenum. The bleeding vessel was visualized but bleeding could not be controlled endoscopically. Blood transfusion was done and patient was planned for surgery. Which of the following would be best surgical management?
✓ Correct Answer: C. Duodenotomy with ligation of bleeding vessels, truncal vagotomy and pyloroplasty
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