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[Postbulbar hemorrhagic ulcer].

T Seicaru, V Grădinaru

    Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
    |September 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Post-bulbar ulcers, though rare, often cause severe digestive hemorrhage. Early surgical intervention is crucial for managing these complex cases and preventing potentially catastrophic relapses.

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    [The therapeutic options in biliary ileus].

    Chirurgia (Bucharest, Romania : 1990)·1996

    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology
    • Hepatobiliary Surgery

    Context:

    • Post-bulbar ulcers are uncommon but present significant management challenges.
    • Hemorrhagic complications are frequent, occurring in 32.5% of duodenal ulcer cases.

    Purpose:

    • To analyze the clinical evolution and surgical management of post-bulbar ulcers.
    • To evaluate outcomes of various surgical interventions for bleeding post-bulbar ulcers.

    Summary:

    • This study reviewed 26 cases of post-bulbar ulcers with digestive hemorrhage.
    • Hemorrhage was massive, recurrent, and sometimes associated with vascular collapse.
    • Pancreatic penetration and vascular fistulae contribute to severe, relapsing bleeding episodes.

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    Impact:

    • Findings underscore the necessity of prompt surgical intervention for post-bulbar ulcers.
    • Radical surgical approaches are recommended for angio-penetrating and hemorrhagic lesions.
    • Surgical strategies included gastrectomy and vagotomy with pylroplasty, with varying outcomes.