Observational analysis highlights effective endoscopic intervention for perforation in patients with duodenal ulcers, indicating potential for better outcomes.
A 70-year-old woman with a refractory duodenal ulcer developed a 1.5-cm perforation at the duodenal bulb following two failed attempts at endoscopic hemostasis ([Fig. 1]). Placement of an over-the-scope clip for closure was unsuccessful, and resulted in sepsis.
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