ulcera duodenal

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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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J Clin Med Res. 2011 October; 3(5): 213222. Published online 2011 September 26. doi: 10.4021/jocmr608w PMCID: PMC3279482 Copyright 2011, Kuwabara et al.Reappraising the Surgical Approach on the Perforated Gastroduodenal Ulcer: Should Gastric Resection Be Abandoned?Kazuaki Kuwabara,ag Shinya Matsuda,b Kiyohide Fushimi,c Koichi B. Ishikawa,d Hiromasa Horiguchi,e and Kenji FujimorifaKyushu University, Graduate School of Medical Sciences, Department of Health Care Administration and Management, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, JapanbUniversity of Occupational and Environmental Health, Fukuoka, JapancTokyo Medical and Dental University, Tokyo, JapandNational Cancer Center, Tokyo, JapaneThe University of Tokyo Graduate School of Medicine, Tokyo, JapanfHokkaido University, Sapporo, JapangCorresponding author: Kazuaki Kuwabara. Email: kazu228@basil.ocn.ne.jpAccepted June 2, 2011.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.AbstractBackgroundAdvancements in medical care for peptic ulcer disease (PUD) have reduced the need for invasive surgical procedures such as gastric resection (GR). Community-based PUD studies from a large sampling of PUD patients designed to analyze hospital resource use and outcomes after different surgical procedures have been rare. We aimed to e

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