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  • Title: Simple closure or definitive surgery for perforated duodenal ulcer.
    Author: Baekgaard N, Lawaetz O, Poulsen PE.
    Journal: Scand J Gastroenterol; 1979; 14(1):17-20. PubMed ID: 370969.
    Abstract:
    In the period 1959--1971 a simple operative closure was the initial management of 112 patients with acute perforation of duodenal ulcers. At follow-up 6--18 years after perforation the relevance of the length of ulcer history prior to perforation in deciding upon 'definitive' emergency operation is evaluated. Using such a selection criterion, the rate of misinterpretation at the time of perforation is close on 50%, and half of these patients would be subjected to an apparently unnecessary operation. Furthermore, about 80% of the patients for whom simple closure was not sufficient treatment developed ulcer dyspepsia within the first year after the perforation. Therefore, simple suture of a duodenal perforation with careful clinical follow-up for at least 1 year is recommended.
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