書誌事項
- タイトル別名
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- TWO CASES OFPERFORATED DUODENAL ULCERWITH NON-OPERATIVE THERAPY IN CHILDHOOD
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We reported two cases of perforated duodenal ulcer treated with non-oerative methodin childhood. Case 1 was a 15-year-old man who was admitted to ou.r emergency centeron June 18, 1994 with chief complaint of the sudden upper abdominal pain. The tendernessand muscle guarding were found in the abdomen on adrnission. Plain abdorninal X-rayrevealed free air in the bilateral subphrenic cavity. Ultrasonography showed slight fluidcollection in the Morison pouch. Emergency esophagogastroduodenoscopy(EGD)revealedan open ulcer with perforation 3mm in diameter in the duodenal bulb. The diagnosis of aperforated duodenal ulcer(PDU)was made and the conservative therapy which has beenmainly selected for the adult PDU in our department since 1988, was indicated. The clinicalsymptoms were improved 5 days later. EGD on the 5th hospital day showed the perforationto have closed on the ulcer base. His subsequent clinical course was uneventful anddischarged on the gth hospital day. Case 2 who was 13-year-01d man was similar to caselin the clinical Course and discharged on the 14th hospital day. We suggested that PDU in childhood was a gofld candidate for the conservativetherapy, because the healing of the duodenal ulcer in childhood was generally thought to befaster than in adult, if peritonitis following PDU could be carefully observed with non-operative method.
収録刊行物
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- 日本消化器内視鏡学会雑誌
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日本消化器内視鏡学会雑誌 37 (5), 1004-1012_1, 1995
一般社団法人 日本消化器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390282679194546304
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- NII論文ID
- 130004253832
- 10006813422
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- NII書誌ID
- AN00192102
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- ISSN
- 18845738
- 03871207
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
