In the remaining three, two had gastric perforation one in body and one in
prepyloric region for which grahams patch repair was done, one had duodenal perforation which was repaired with feeding jejunostomy done and all discharged remaining three had perforation with deranged counts and managed conservatively with drain placement.
The abdomen was inflated with 14 mmHg carbon dioxide, then starting from approximately 3cm
prepyloric, the gastrocolic and gastrosplenic ligaments were cut with a 5 mm LigaSure (Covidien, Dublin, Ireland), and the stomach was mobilized.
She had a similar presentation three months earlier at which time an esophagogastroduodenoscopy (EGD) revealed a 1.5-cm deep punched-out duodenal ulcer with adherent clot in the proximal duodenal sweep, erosive duodenitis and gastritis, two pinpoint ulcers in the
prepyloric region, and an 8mm clean based duodenal bulb ulcer.
In this procedure, sutures are placed in two rows along the greater curvature of the stomach, from the anterior wall to the greater curvature to the posterior wall, resulting in a gastric cavity that forms a tubular sleeve along the lesser curvature, with the closing of the greater curvature via plications from the gastroesophageal junction to the
prepyloric antrum (1).
All polyps were localized in the distal part of the stomach (antrum and
prepyloric region).
Calka, "Neurochemical plasticity of the coeliac-superior mesenteric ganglion complex neurons projecting to the
prepyloric area of the porcine stomach following hyperacidity," Neural Plasticity, vol.
Another small ulcer covered with slough was also present at
prepyloric antrum.
The Nathanson liver retractor was placed just below the xiphoid process and liver was retracted; (2) identification of distal point of transection of the stomach: the pylorus was identified using the
prepyloric vein of Mayo as the marker.
Significantly lower complex III protein levels were found in tumors localized in the
prepyloric antrum compared to the cardia (p = 0.049).
Previous studies revealed that the
prepyloric area of the stomach is a predictable place of occurrence of pathological changes, such as erosion, ulcers, and inflammatory condition in course of the gastric disorders [23, 24].
2) and a
prepyloric ulcer with overlying slough (Figs 3 and 4); and duodenum--D1 and D2 duodenitis.
On exploration, a 2x2 cm perforation was identified in the anterior wall of the
prepyloric region of stomach.
