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Question |
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Dear sir , what is the latest / updated /evidenced based management protocol for Duodenal ulcer in an adolesent child , Pl specifically highlight indications for surgery . exclude conditons like perforation or an active open bleeder caught open in cicratrised tissue due to chronicity .Is there something as failure of conservative mangemnt - necessciating surgery. what is the maximum period Rantidine and omeprazole group of drugs are to be given trial . thanks Dr ( Lt Col )Alok Dubey
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Operative intervention is indicated for massive intractable bleeding or perforation. Rarely, recurrent pyloric channel ulcers or prepyloric ulcers may result in gastric outlet obstruction, which requires an acid-reducing operation combined with a gastric-emptying procedure. Proton pump inhibitors and ranitidine may be given for 6-8 weeks. Post operatively they may be needed longer.
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