Department of Gastrointestinal Surgery, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang, China.
J Coll Physicians Surg Pak. 2022 Aug;32(8):S121-S123. doi: 10.29271/jcpsp.2022.Supp2.S121.
Peptic ulcers are the most common causes of upper gastrointestinal bleeding. Although most peptic ulcer bleeding can be controlled by medical and endoscopic treatment, a small number of patients with recurrent bleeding eventually require surgical treatment. In recent years, laparoscopy, a minimally invasive surgical method, has gained popularity and acceptance. We, herein, report a case of recurrent duodenal ulcer bleeding. Laparoscopic oversewing of the bleeding ulcer under endoscopic guidance resulted in satisfactory recovery. We suggest that for recurrent bleeding from peptic ulcers, laparoscopic oversewing under endoscopic guidance should be recommended as a possible early option to halt the bleeding. Key Words: Upper gastrointestinal bleeding, Peptic ulcer, Laparoscopy, Treatment.
消化性溃疡是上消化道出血最常见的原因。虽然大多数消化性溃疡出血可以通过内科和内镜治疗得到控制,但少数反复出血的患者最终需要手术治疗。近年来,腹腔镜作为一种微创外科方法已得到普及和认可。在此,我们报告一例复发性十二指肠溃疡出血。在内镜引导下,腹腔镜缝合出血性溃疡取得了满意的疗效。我们建议,对于消化性溃疡的复发性出血,在内镜引导下腹腔镜缝合应作为一种可能的早期选择来止血。
上消化道出血;消化性溃疡;腹腔镜;治疗。