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[Present status of the Taylor method in perforated ulcer of the duodenal bulb]
Abstract:
Therapy by Taylor's method was attempted in 61 of 96 patients with perforated ulcer of duodenal cap. Treatment was effective in 50 cases (more than 50%) and morbidity and mortality were low. Most operated cases were recipients of simple treatment for the perforation, more rarely combined with therapy for the ulcer disease. Postoperative mortality was very high (24% of patients operated upon) but appeared to be related mainly to associated risk factors. Only 8 of the patients treated by Taylor's method required recovery surgery, while this was necessary in 4 patients operated upon initially and given simple treatment for the perforation. These findings suggest efficacy of Taylor's method for treatment of perforated duodenal ulcer, avoiding operation or allowing treatment of the ulcer disease once the acute episode has passed.
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