{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:09:29Z","timestamp":1760954969884},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[1990,9,1]],"date-time":"1990-09-01T00:00:00Z","timestamp":652147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1990,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In a consecutive series of 201 emergency operations in patients with bleeding duodenal ulcer the size of the ulcer was the only factor that showed a significant correlation with the procedure chosen. Vagotomy, pyloroplasty and underrunning of the bleeding point was performed in 101 cases with ten deaths (10 per cent), partial (Billroth II) gastrectomy in 81 cases with ten deaths (12 per cent), and vagotomy and antrectomy in 16 cases with one death (6 per cent). A patient was more likely to be treated by partial gastrectomy if a giant ulcer with an internal diameter of \u2a7e 2 cm was found. The results suggest that while vagotomy and pyloroplasty, combined with a direct attack on the bleeding point or excision of an anterior ulcer is an acceptable standard emergency operation for bleeding duodenal ulcer, gastric resection proved to be a satisfactory alternative procedure and should be considered in the technically difficult case with a very large ulcer. A giant ulcer was present in 37 per cent of cases coming to surgery.<\/jats:p>","DOI":"10.1002\/bjs.1800770915","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T14:53:42Z","timestamp":1172933622000},"page":"1004-1006","source":"Crossref","is-referenced-by-count":33,"title":["Choice of emergency operative procedure for bleeding duodenal ulcer"],"prefix":"10.1093","volume":"77","author":[{"given":"P S","family":"Hunt","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery, Prince Henry's Hospital , St. Kilda Road, Melbourne, Victoria 3004,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R L E","family":"McIntyre","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Prince Henry's Hospital , St. Kilda Road, Melbourne, Victoria 3004,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,9,1]]},"reference":[{"key":"2024092809133994400_bib1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/bmj.2.5700.7","article-title":"Haematemesis and melaena, with special reference to factors influencing outcome","volume":"i","author":"Schiller","year":"1970","journal-title":"Br Med J"},{"key":"2024092809133994400_bib2","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1136\/gut.13.5.331","article-title":"Partial gastrectomy for haemorrhage","volume":"13","author":"Cocks","year":"1972","journal-title":"Gut"},{"volume-title":"Clinical Gastroenterology","year":"1960","author":"Jones","key":"2024092809133994400_bib3"},{"key":"2024092809133994400_bib4","first-page":"80","article-title":"Conservative surgery for bleeding peptic ulcer","volume":"i","author":"Boulos","year":"1981","journal-title":"Br Med J"},{"key":"2024092809133994400_bib5","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1136\/bmj.1.5532.80","article-title":"Conservative surgery for bleeding peptic ulcer","volume":"i","author":"Carruthers","year":"1967","journal-title":"Br Med J"},{"key":"2024092809133994400_bib6","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1001\/jama.1958.02990080022005","article-title":"Rationale of yagotomy and pyloroplasty in management of bleeding duodenal ulcer","volume":"166","author":"Smith","year":"1958","journal-title":"JAMA"},{"key":"2024092809133994400_bib7","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00000658-198401000-00008","article-title":"The surgical management of bleeding chronic peptic ulcer. 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