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127930 Surgery

A frail elderly patient is found to have an anterior perforation of a duodenal ulcer. He has a recent history of nonsteroidal anti-inflammatory drug (NSAID) use and no previous history of peptic ulcer disease. A large amount of bilious fluid is found in the abdomen. What should be the next step?

ALavage of the peritoneal cavity alone
BLavage and omental patch closure of the ulcer
CTotal gastrectomy
DLavage, vagotomy, and gastroenterostomy
Surgery
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