{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:39:03Z","timestamp":1791823143617,"version":"4.3.4"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,11,12]],"date-time":"2020-11-12T00:00:00Z","timestamp":1605139200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute perforated duodenal ulcers are considered one of the most encountered emergency surgical conditions leading to mortality. Different approaches have been proposed for management based on the clinical status of the patient. The use of omental patch closure is widely accepted either via an open or laparoscopic approach. However, not all patients are candidates owing to the availability and viability of the greater omentum. In these patients, the falciform ligament can be used as an alternative and efficient method for repair. In this case, we present a male patient with a perforated ulcer in the first part of the duodenum which was managed by falciform ligament patch instead of the usual omental patch. In cases of a deficient or unhealthy greater omentum, or if it cannot be brought in the upper part of the abdominal cavity due to severe adhesions, the falciform ligament can be used efficiently in the closure of perforated duodenal ulcer.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa243","type":"journal-article","created":{"date-parts":[[2020,6,17]],"date-time":"2020-06-17T11:11:33Z","timestamp":1592392293000},"source":"Crossref","is-referenced-by-count":12,"title":["Falciform ligament use in perforated duodenal ulcer repair: a case report and literature review"],"prefix":"10.1093","volume":"2020","author":[{"given":"Amr","family":"Elgazar","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ain Shams University Hospitals, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6647-1866","authenticated-orcid":false,"given":"Ahmed K","family":"Awad","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheref A","family":"Elseidy","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases, Ain Shams University, Cairo, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,12]]},"reference":[{"key":"2020111222560317700_ref1","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/j.1365-2036.2005.02554.x","article-title":"Trends in the prevalence of peptic ulcer disease and Helicobacter pylori infection in family physician-referred uninvestigated dyspeptic patients in Hong Kong","volume":"22","author":"Xia","year":"2005","journal-title":"Aliment Pharmacol Ther"},{"key":"2020111222560317700_ref2","doi-asserted-by":"crossref","first-page":"628","DOI":"10.1111\/j.1440-1746.2005.03719.x","article-title":"Changing trends in peptic ulcer prevalence in a tertiary care setting in the Philippines: a seven-year study","volume":"20","author":"Wong","year":"2005","journal-title":"J Gastroenterol Hepatol"},{"key":"2020111222560317700_ref3","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/S0889-8553(05)70130-8","article-title":"Recent developments in the epidemiology of helicobacter pylori","volume":"29","author":"Everhart","year":"2000","journal-title":"Gastroenterol Clin N Am"},{"key":"2020111222560317700_ref4","doi-asserted-by":"crossref","first-page":"1329","DOI":"10.1007\/s11605-011-1482-1","article-title":"Trends in diagnosis and surgical management of patients with perforated peptic ulcer","volume":"15","author":"Thorsen","year":"2011","journal-title":"J Gastrointest Surg"},{"key":"2020111222560317700_ref5","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1159\/000323958","article-title":"Systematic review of the epidemiology of complicated peptic ulcer disease: incidence, recurrence, risk factors, and mortality","volume":"84","author":"Lau","year":"2011","journal-title":"Digestion"},{"key":"2020111222560317700_ref6","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.dld.2003.10.011","article-title":"Helicobacter pylori and perforated peptic ulcer. 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