{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T16:47:56Z","timestamp":1692550076836},"reference-count":14,"publisher":"Index Copernicus","issue":"SUPLEMENT","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2020,10,23]]},"abstract":"<jats:p>Introduction: Endoscopic measures have continued to be the primary procedures in the management of ulcer bleeding. Nevertheless, in cases of failed endoscopic hemostasis and re-bleedings, endovascular techniques have gradually gained increased acceptance as an alternative to surgery, allowing to avoid surgical intervention in some cases. &lt;br\/&gt; Case report: A case of a 42-year-old patient presenting to the authors\u2019 institution with massive bleeding from the duodenal ulcer, sprang from a pathologically enlarged gastroduodenal artery is reported. This vascular anomaly was a consequence of occlusion of the coeliac trunk (Dunbar syndrome), which was shown on an angio-CT scan. In spite of several endoscopic and endovascular measures, as well as three operations, the bleeding persistently recurred (a total of 6 episodes) and the patient eventually died. The article presents details of operative and endovascular treatments. Contemporary trends in management in cases of failed endoscopic interventions and re-bleedings form peptic ulcers are shown in the discussion.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0014.8072","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T14:39:25Z","timestamp":1615905565000},"page":"54-58","source":"Crossref","is-referenced-by-count":1,"title":["Persisting bleeding from the duodenal ulcer in patients with occlusion of the celiac trunk: a case report"],"prefix":"10.5604","volume":"93","author":[{"given":"Andrzej","family":"\u017byluk","sequence":"first","affiliation":[{"name":"Department of General and Hand Surgery, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Zeair","sequence":"additional","affiliation":[{"name":"Department of General, Vascular and Transplant Surgery, Independent Provincial Complex Hospital Maria Curie-Sk\u0142odowska in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janusz","family":"Kordowski","sequence":"additional","affiliation":[{"name":"Department of Imaging Diagnostics and Interventional Radiology, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Gabrysz-Trybek","sequence":"additional","affiliation":[{"name":"Department of Imaging Diagnostics and Interventional Radiology, Pomeranian Medical University in Szczecin, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"213990r1","doi-asserted-by":"crossref","unstructured":"Donohoe C.L., Rockall T.A.: Is there still a role for the surgeon in the management of gastrointestinal bleeding? 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