n South African Journal of Surgery - Pancreaticoduodenostomy for treatment of giant duodenal ulcer : case report




Definitive acid-reducing peptic ulcer surgery currently plays a less prominent role than medical treatment in the management of peptic ulceration. The utilisation of proton pump inhibitors and &lt;I&gt;Helicobacter&lt;/I&gt; eradication are proven effective therapies. <br>Giant duodenal ulcers, first described by Brdiczka in 1931, pose a unique challenge to this shift in therapy. There are various described surgical options to deal with these ulcers depending on the operative findings and we describe a simple new technique that we recently used successfully.


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