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A Conservative Surgical Approach

Alexander M. C. Macgregor, MB, ChB, FRCS, (Ed); Howard T. Abney, MD; Mark E. Faith, MD

AMA Arch Surg. 1973;107(3):468-469.

Abstract
Massive upper gastrointestinal tract hemorrhage following surgical operation or trauma may be due to reactivation of chronic duodenal ulcer disease. When this can be established by gastroscopy, a conservative surgical approach may have significant advantage in these critically ill patients. Two cases are described in which hemorrhage from duodenal ulceration in the stress situation was successfully treated by oversewing the ulcer through a postpyloric duodenotomy, combined with a proximal gastric vagotomy.

Author Affiliations
Gainesville, Fla

From the Department of Surgery, College of Medicine, University of Florida, Gainesville.

Footnotes
Accepted for publication April 9, 1973.

Reprint requests to Department of Surgery, Box 736, J. Hillis Miller Health Center, Gainesville, FL 32601 (Dr. Macgregor).

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