Final answer:
A bleeding duodenal ulcer is surgically corrected by removing the ulcer and sometimes part of the stomach or duodenum. If perforation occurs, surgical repair involves sealing the perforation and cleaning the abdominal cavity. A Roux-En-Y procedure might be used in cases where obesity is a contributing factor.
Step-by-step explanation:
A bleeding duodenal ulcer requires prompt surgical intervention if it does not respond to medical treatment. The surgical procedure commonly used to correct this is an operation that involves the removal of the ulcer along with a small portion of the stomach or duodenum to ensure the bleeding is controlled. If the ulcer has caused a perforation, the surgical repair would involve sealing the hole and cleaning the abdominal cavity to prevent or treat peritonitis. In some severe cases, a procedure known as a partial gastrectomy might be performed where a part of the stomach is removed. Additionally, if there is concern about the recurrence of ulcers or if the patient has a condition that causes excessive stomach acid production, a surgeon may perform a vagotomy, which involves cutting the vagus nerve to reduce acid secretion.
In cases where obesity is a contributing factor to the development of the duodenal ulcer, a Roux-En-Y surgery might be considered. This procedure involves creating a small pouch from the stomach and connecting it directly to the small intestine, thus bypassing a significant portion of the stomach and duodenum. The Roux-En-Y procedure is more often used as a bariatric surgery rather than specifically for ulcers, but by reducing the size of the stomach, it can help in cases where reducing acid exposure in the duodenum is deemed necessary.
Overall, the choice of surgical procedure depends on the severity of the ulcer, the presence of complications like perforation, and the patient's overall health status and history.