A 30 year old male patient presented with massive haemetemesis.Upper GI endoscopy shows a 2x2 cm ulcer on the posterior aspect of the first part of the duodenum.Bleeding vessel is seen, but could not controlled endoscopically.Patient's pulse rate is 100, BP 110/70, Hb 10 gm% after blood transfusion.What will be the next line of management is -

Question

TuteeHUB · Accepted Answer

NA

TuteeHUB · Answer

Partial gastrectomy including the bleeding segment

TuteeHUB · Answer

IV pantoparazole

TuteeHUB · Answer

Duodenotomy, ligation of bleeding vessel, truncal vagotomy, antrectomy

TuteeHUB · Answer

Duodenotomy, with ligation of bleeding vessel, truncal vagotomy with pyloroplasty

1.	A 30 year old male patient presented with massive haemetemesis.Upper GI endoscopy shows a 2x2 cm ulcer on the posterior aspect of the first part of the duodenum.Bleeding vessel is seen, but could not controlled endoscopically.Patient's pulse rate is 100, BP 110/70, Hb 10 gm% after blood transfusion.What will be the next line of management is -
A.	Partial gastrectomy including the bleeding segment
B.	IV pantoparazole
C.	Duodenotomy, ligation of bleeding vessel, truncal vagotomy, antrectomy
D.	Duodenotomy, with ligation of bleeding vessel, truncal vagotomy with pyloroplasty
Answer» E.

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