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ISSN : 2321–8045
Impact Factor : 3.4218[UIF-2017]
Article Details :
Graham Omental Patch Is A Safe And Reliable Technique For Treatment Of A Large Doubleduodenal–Jejunal ( Dj ) Junction Perforated Ulcers: A Case Report
Samukh S , AAM Salleh , A.H Shaker , Thamilselvam P
Abstract :
The annual incidence of peptic ulcer ranges from 0.1% to 0.3%.Perforation of duodenal ulcer carry mortality up to 11 %, with a higher mortality seen in patients over the age of 50 years and in those who present late to the hospital [2]. We reported a case of 48 years old gentleman who presented with acute abdomen with peritonitis. Exploratory laparotomy was performed revealed a large double perforated ulcers at Duodenal–Jejunal junction ( DJ junction ) which was successfully repaired with conventional and classical Graham Patch. Various modality applied including re-laparotomy to establish leaking of Graham Patch repair post operatively, however those shows DJ junction was intact with no sign of leaking.
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