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Pyloroplasty (Heineke-Mikulicz and Finney), Operation for Bleeding Duodenal Ulcer: Surgical Legacy Technique

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin
Chapter

Abstract

Pyloroplasty is now primarily used in patients undergoing emergency surgery for massive hemorrhage from duodenal ulcer when other methods of control have failed. A vagotomy may be added if the patient is noncompliant with medical therapy (see Chaps. 29 and 30).

Keywords

Duodenal Ulcer Suture Line Gastroduodenal Artery Pyloric Sphincter Proximal Duodenum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. Berne CJ, Rosoff L. Peptic ulcer perforation of the gastroduodenal artery complex. Ann Surg. 1969;169:141.PubMedCrossRefGoogle Scholar
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  3. Martin CJ, Kennedy T. Reconstruction of the pylorus. World J Surg. 1982;6:221.PubMedCrossRefGoogle Scholar
  4. Smith BR, Wilson SE. Impact of nonresective operations for complicated peptic ulcer disease in a high-risk population. Am Surg. 2010;76:1143.PubMedGoogle Scholar
  5. Wang BW, Mok KT, Chang HT, et al. APACHE II score: a useful tool for risk assessment and an aid to decision-making in emergency operation for bleeding gastric ulcer. J Am Coll Surg. 1998;187:287.PubMedCrossRefGoogle Scholar
  6. Wang YP, Richter JE, Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006. Ann Surg. 2010;25:51.CrossRefGoogle Scholar
  7. Zelickson MS, Bronder CM, Johnson BL, Camunas JA, Smith DE, et al. Helicobacter pylori is not the predominant etiology for peptic ulcers requiring operation. Am Surg. 2001;77:1054.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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