Yoo Young Jin, Lee Yong Kang, Lee Joong Ho, Lee Hyung Soon
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Division of Gastroenterology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Korean J Gastroenterol. 2018 Nov 25;72(5):262-266. doi: 10.4166/kjg.2018.72.5.262.
Surgery has been the standard treatment for perforated duodenal ulcers, with mostly good results. However, the resolution of postoperative leakage after primary repair of perforated duodenal ulcer remains challenging. There are several choices for re-operation required in persistent leakage from perforated duodenal ulcers. However, many of these choices are complicated surgical procedures requiring prolonged general anesthesia that may increase the chances of morbidity and mortality. Several recent reports have demonstrated postoperative leakage after primary repair of a perforated duodenal ulcer treated with endoscopic insertion using a covered self-expandable metallic stent, with good clinical results. We report a case with postoperative leakage after primary repair of a perforated duodenal ulcer treated using a covered self-expandable metallic stent.
手术一直是十二指肠溃疡穿孔的标准治疗方法，大多效果良好。然而，十二指肠溃疡穿孔一期修补术后的渗漏问题仍然具有挑战性。对于十二指肠溃疡穿孔持续渗漏需要再次手术，有几种选择。然而，这些选择中的许多都是复杂的外科手术，需要长时间的全身麻醉，这可能会增加发病和死亡的几率。最近的几份报告显示，使用带膜自膨式金属支架内镜置入治疗十二指肠溃疡穿孔一期修补术后出现渗漏，但临床效果良好。我们报告一例使用带膜自膨式金属支架治疗十二指肠溃疡穿孔一期修补术后出现渗漏的病例。
