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

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


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).


Duodenal Ulcer Suture Line Gastroduodenal Artery Pyloric Sphincter Proximal Duodenum 
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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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