c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Upper Gastrointestinal Bleed: 7

A D V E R T I S E M E N T

   
 

Control of bleeding is obtained with figure of eight non-absorbable (eg. silk) stitches beneath the vessel on either side of the bleeding point. Care must be taken not to go so deep as to endanger the bile duct.       

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Upper Gastrointestinal Bleed: 8

A D V E R T I S E M E N T

   
 

The ulcer bed with the first stitch placed is shown.       

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Upper Gastrointestinal Bleed: 9

A D V E R T I S E M E N T

   
 

The duodenum was closed in two layers as a Heineke-Mikulicz pyloroplasty (side to side). The mucosal closure with absorbable suture material is shown.       

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This page was last modified on 2/28/2001.