GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
TWO CASES OF DUODENAL ULCER WITH PERFORATION DRAINAGED WITH URGENT LAPAROSCOPY CONSERVATIVELY
Mamoru TAKEUCHISatoshi OGAWAShigeru NISHIKIMasaaki MAEKAWA
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JOURNAL FREE ACCESS

1993 Volume 35 Issue 1 Pages 117-122_1

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Abstract
It is well kown that perforated peptic ulcer is an absolute indications of sergery. But recently, incidence of conservative treatment for it increases. We performed urgent laparoscopy and abdominal drainage for 2 cases with perforated duodenal ulcer. These 2 cases developed perforation in hungry and general condition was good. Signs of peritoneal irritation was localized and symptoms and peritoneal signs improved. The laparoscopic findings in 2 cases demonstrated that : anterior wall of the duodenal bulb was covered by the liver and peritonitis was localized and these was no food in abdominal cavity. These findings indicated a good indication of conservative therapy for perforated duodenal ulcers.
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© Japan Gastroenterological Endoscopy Society
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