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Foregut

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Acute Care Surgery

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Abstract

A 45-year-old international business man is taken emergently to the operating room because of an acute abdomen and demonstration of free air under the diaphragm on chest x-ray. Surgical exploration reveals a perforated proximal body gastric ulcer. This patient has had no history of peptic ulcer disease and has been, essentially, free of health-related problems. Which of the following should be the operative plan of choice?

  1. (A)

    Truncal vagotomy and pyloroplasty

  2. (B)

    Truncal vagotomy and antrectomy

  3. (C)

    Highly selective vagotomy

  4. (D)

    Omental buttress repair (Graham patch)

  5. (E)

    Subtotal gastrectomy

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Illinois at Chicago, John H. Stroger Hospital of Cook County, Chicago, IL, USA

    Philip E. Donahue MD

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  1. Philip E. Donahue MD
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Editor information

Editors and Affiliations

  1. Department of Surgery, Eastern Virginia Medical School, Norfolk, VA, USA

    L. D. Britt MD, MPH (Brickhouse Professor of Surgery and Chairman) (Brickhouse Professor of Surgery and Chairman)

  2. Department of Surgery, Oregon Health Sciences University, Portland, OR, USA

    Donald D. Trunkey MD (Professor) (Professor)

  3. Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA

    David V. Feliciano MD (Professor of Surgery, Chief of Surgery) (Professor of Surgery, Chief of Surgery)

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© 2007 Springer Science+Business Media, LLC

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Donahue, P.E. (2007). Foregut. In: Britt, L.D., Trunkey, D.D., Feliciano, D.V. (eds) Acute Care Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69012-4_29

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  • DOI: https://doi.org/10.1007/978-0-387-69012-4_29

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-34470-6

  • Online ISBN: 978-0-387-69012-4

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