{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T17:50:52Z","timestamp":1780681852973,"version":"3.54.1"},"reference-count":12,"publisher":"Royal College of Surgeons of England","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:p> Peptic ulcers in the second part of the duodenum are a rare occurrence and present challenging management. Conventional surgical operations are associated with life threatening complications. We describe a case of a perforated duodenal ulcer in a medically unstable patient who was deemed unfit for lengthy definitive surgery. An emergency laparotomy and \u2019triple-ostomy\u2019 was performed. We recommend this procedure as an alternative for the emergency repair of D2 ulcers, especially in patients with multiple co-morbidities. <\/jats:p>","DOI":"10.1308\/147870811x602320","type":"journal-article","created":{"date-parts":[[2011,10,10]],"date-time":"2011-10-10T19:50:03Z","timestamp":1318276203000},"page":"e122-e124","source":"Crossref","is-referenced-by-count":6,"title":["Triple-ostomy: management of perforations to the second part of the duodenum in patients unfit for definitive surgery"],"prefix":"10.1308","volume":"93","author":[{"given":"PJJ","family":"Herrod","sequence":"first","affiliation":[{"name":"Department of General Surgery, Lincoln County Hospital, Lincoln, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Kamali","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Lincoln County Hospital, Lincoln, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SCB","family":"Pillai","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Lincoln County Hospital, Lincoln, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncpgasthep0393"},{"key":"p_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198701000-00005"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800760304"},{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-2-16"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199205000-00010"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeh164"},{"key":"p_7","first-page":"449","volume":"23","author":"Sonwalkar S","year":"2005","journal-title":"Surgery"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197905000-00006"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-196411000-00001"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0599-y"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.07.025"},{"key":"p_12","volume-title":"Nutrition Support for Adults","author":"National Collaborating Centre for Acute Care.","year":"2006"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/147870811X602320","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T09:51:32Z","timestamp":1684144292000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/147870811X602320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1308\/147870811X602320"],"URL":"https:\/\/doi.org\/10.1308\/147870811x602320","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10]]}}}