The treatment of perforated duodenal ulcer cannot be standardised. In emergency to treat definitively both the perforation and the peptic ulcer request selectionned patients. We think that in emergency the primary aim is the treatment of the perforation to save the patient's life. The non operative method (Taylor-Quenu) keeps reasonably its place in the treatment of perforated duodenal ulcer in spite of critical opinions. This method has not to be used in patients who are said inoperable.
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