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Operative management of bleeding post-bulbar duodenal ulcers and possible injury to the common bile duct

Gerding, H.; Schein, M.

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 27(1): 16-18

1989

ISSN/ISBN: 0038-2361
PMID: 2727819
Document Number: 335635
Emergency surgery for a bleeding post-bulbar duodenal ulcer may entail a risk of injury to the common bile duct. In an experimental study on 20 fresh cadavers, the distance between the common bile duct and the duodenum was measured, and sutures and metal clips were placed in the duodenal wall. Sutures presented a greater risk of injury to the common bile duct than metal clips. Recent clinical experience with the application of metal clips in a bleeding post-bulbar ulcer is presented and relevant reports summarised.

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