A "Clean" Technique for Managing Bleeding Duodenal Ulcer With a New Aortic Prosthesis: Endoscopic-Assisted Repair of Bleeding Duodenal Ulcer

Ian K. Komenaka, Ajay Goyal, Eric T. Nguyen, Syed Q. Gardezi

Research output: Contribution to journalArticle

Abstract

Aortic graft infection is one of the most dreaded surgical complications. In the perioperative patient with fresh aortic prosthesis, this is a particularly complex problem. Opening the bowel changes an operation to a "clean-contaminated" or "contaminated" case. This increases the risk of all infectious complications in the patient. Theoretically, our method of repair reduces the risk of infection by eliminating the duodenotomy. The direct visualization with the endoscope replaces the need to open the potentially contaminated bowel and reduces the risk of bacterial translocation and bacteremia. By not opening the bowel, this keeps the case "clean, " and likely reduces the risk of contamination and subsequent infection of the prosthetic graft. As the potential morbidity of aortic graft infection is so devastating, and now that we have the available technology and operative skill, we propose our technique as a potential alternative to possibly reduce the incidence of aortic graft infection.

Original languageEnglish (US)
Pages (from-to)357-359
Number of pages3
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume13
Issue number5
StatePublished - Oct 1 2003

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Duodenal Ulcer
Prostheses and Implants
Hemorrhage
Transplants
Infection
Bacterial Translocation
Endoscopes
Bacteremia
Technology
Morbidity
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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A "Clean" Technique for Managing Bleeding Duodenal Ulcer With a New Aortic Prosthesis : Endoscopic-Assisted Repair of Bleeding Duodenal Ulcer. / Komenaka, Ian K.; Goyal, Ajay; Nguyen, Eric T.; Gardezi, Syed Q.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 13, No. 5, 01.10.2003, p. 357-359.

Research output: Contribution to journalArticle

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