... and a large perforation were identified on the right lateral pouch wall. The site of the defect, which showed friable tissue conditions, was oversewn in 3 layers with PDS 4-0 and additionally secured with an omentum majus flap. The postoperative course was uneventful, with catheter removal after 2 weeks...

... the patient died of pulmonary embolism. The autopsy showed a perforated peptic ulcer in the gastric segment resulting in a closed fistula to the small bowel. Most probably the reason for development of the peptic ulcer was stress caused by the operation and it might have been avoided by using hydrogen...