台灣外科醫學會雜誌

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	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
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	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
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	第58卷第2期 2025-3 The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan
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	第58卷第2期 2025-3 Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study
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	第58卷第2期 2025-3 Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis
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	第58卷第2期 2025-3 Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study
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	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
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	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
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	第58卷第1期 2025-1 Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones
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	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
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	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
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篇名	Management Strategies of Marginal Ulcers
作者	Hung-Chun Chung, Su-Shun Lo, Chew-Wun Wu, Mao-Chih Hsieh, Wing-Yiu Lui
卷期/出版年月	31卷2期 (1998/4)
頁次	103-108
摘要	Marginal ulcer is caused by inadequate initial peptic ulcer surgical proce- dure. Since H2 receptor antagonists have become popular as a standard treatment for peptic ulcer in the past two decades, a retrospective analysis was done to evaluate whether the H2 receptor antagnoists can also be used to treat marginal ulcer. Forty-live patients with pathologically proved marginal ulcer were collected from our hospital in records over the past 10 years. Medical treatment with H2 receptor antagonists was the primary treatment for those 45 patients. Only 7 marginal ulcers healed and without recurrence. Twenty-five ulcers healed but with repeated recurrence. Surgery was suggested to another ten repeated complicated recurrent ulcers and three persistent marginal ulceration. Three patients with persistent marginal ulcer underwent elective surgery and all of these recovered without recurrence. Six patients with recurrent bleeding ulcer underwent emergency operation, and all of them were died of surgical complications, except one patient who recovered without recurrence. Although H2 receptor antagonists have a high success rate to heal marginal ulcers, however, they also have a high recurrence rate. Surgical treatment should be strongly suggested for patients with repeated recurrent bleeding ulcer.
關鍵詞	marginal ulcer
分類	Original Articles