Variations reported in surgical practice for bleeding duodenal ulcers - 18/08/11
, Leigh A. Neumayer, M.D., M.S.
Corresponding author. Tel.: +1-801-581-2431; fax: +1-801-585-2425.Abstract |
Background |
To determine the current surgical management of bleeding duodenal ulcers in our program, faculty (FAC) and residents (RES) were surveyed.
Methods |
FAC (n = 33) and RES (n = 42) were surveyed regarding their surgery of choice between oversew (OS) or acid-reducing procedures (ARPs) in 4 scenarios. FAC who had recertified in general surgery (RECERT) were compared with young FAC who had not and RES (RES/young FAC). Two-group comparisons were performed.
Results |
Seventy-three percent of FAC and 62% of RES responded. RES perform more ARPs on hemodynamic (HD), unstable, elderly patients than FAC (P = .013). On the elderly patient, RES/young FAC perform more ARPs in a HD stable (P = .07) and unstable condition (P = .18). HD unstable patients would undergo OS more frequently than stable patients (P = .016).
Conclusions |
In this survey, the choice of optimal surgical procedure for an acute bleeding ulcer varies among surgeons based on years of surgical experience and individual patient factors.
Le texte complet de cet article est disponible en PDF.Keywords : Duodenal ulcer, Peptic ulcer, Vagotomy, Survey, Practice patterns
Plan
Vol 192 - N° 5
P. e42-e45 - novembre 2006 Retour au numéro
Article précédent
- Cost-effective use of breast biopsy techniques in a veterans health care system
- Allison R. Hatmaker, Rafe M.J. Donahue, John L. Tarpley, A. Scott Pearson
- Discretionary carotid patch angioplasty leads to good results
- Dolores F. Cikrit, Dawn M. Larson, Alan P. Sawchuk, Connie Thornhill, Shoaib Shafique, Ryan D. Nachreiner, Stephen G. Lalka, Michael C. Dalsing
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?