Covered Self-expandable Metallic Stent Insertion as a Rescue Procedure for Postoperative Leakage after Primary Repair of Perforated Duodenal Ulcer.
10.4166/kjg.2018.72.5.262
- Author:
Young Jin YOO
1
;
Yong Kang LEE
;
Joong Ho LEE
;
Hyung Soon LEE
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Duodenal ulcer;
Peptic ulcer perforation;
Self expandable metallic stents
- MeSH:
Anesthesia, General;
Duodenal Ulcer*;
Mortality;
Peptic Ulcer Perforation;
Self Expandable Metallic Stents;
Stents*
- From:The Korean Journal of Gastroenterology
2018;72(5):262-266
- CountryRepublic of Korea
- Language:English
-
Abstract:
Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. However, many of these choices are complicated surgical procedures requiring prolonged general anesthesia that may increase the chances of morbidity and mortality. Several recent reports have demonstrated postoperative leakage after primary repair of a perforated duodenal ulcer treated with endoscopic insertion using a covered self-expandable metallic stent, with good clinical results. We report a case with postoperative leakage after primary repair of a perforated duodenal ulcer treated using a covered self-expandable metallic stent.
