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

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Chassin's Operative Strategy in General Surgery

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Abstract

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).

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Further Reading

  • Berne CJ, Rosoff L. Peptic ulcer perforation of the gastroduodenal artery complex. Ann Surg. 1969;169:141.

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  • Martin CJ, Kennedy T. Reconstruction of the pylorus. World J Surg. 1982;6:221.

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  • Smith BR, Wilson SE. Impact of nonresective operations for complicated peptic ulcer disease in a high-risk population. Am Surg. 2010;76:1143.

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  • 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.

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  • 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.

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  • 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.

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Author information

Authors and Affiliations

  1. Department of Surgery, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 4622 JCP, Iowa City, IA, 52242, USA

    Carol E. H. Scott-Conner MD, PhD

  2. Department of Surgery, New York University School of Medicine, New York, NY, USA

    Jameson L. Chassin MD

Authors
  1. Carol E. H. Scott-Conner MD, PhD
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  2. Jameson L. Chassin MD
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Corresponding author

Correspondence to Carol E. H. Scott-Conner MD, PhD .

Editor information

Editors and Affiliations

  1. College of Medicine Department of Surgery, University of Iowa Roy J and Lucille A Carver, Iowa City, Iowa, USA

    Carol E.H. Scott-Conner

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Scott-Conner, C.E.H., Chassin, J.L. (2014). Pyloroplasty (Heineke-Mikulicz and Finney), Operation for Bleeding Duodenal Ulcer: Surgical Legacy Technique. In: Scott-Conner, C. (eds) Chassin's Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1393-6_31

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  • DOI: https://doi.org/10.1007/978-1-4614-1393-6_31

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-1392-9

  • Online ISBN: 978-1-4614-1393-6

  • eBook Packages: MedicineMedicine (R0)

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