Massive upper gastrointestinal tract hemorrhage following surgical operation or trauma may be due to reactivation of chronic duodenal ulcer disease. When this can be established by gastroscopy, a conservative surgical approach may have significant advantage in these critically ill patients. Two cases are described in which hemorrhage from duodenal ulceration in the stress situation was successfully treated by oversewing the ulcer through a postpyloric duodenotomy, combined with a proximal gastric vagotomy.
Macgregor AMC, Abney HT, Faith ME. Complicated Duodenal Ulcer HemorrhageA Conservative Surgical Approach. Arch Surg. 1973;107(3):468-469. doi:10.1001/archsurg.1973.01350210098026