Abstract

1. 1. Suture line ulcer as a postoperative complication of surgery for peptic ulcer has been recognised fifteen times in fourteen patients; a continuous nonabsorbable seromuscular suture had been used. 2. 2. Undiagnosed, it is a needless cause of pain, dyspepsia, and bleeding. 3. 3. Diagnosis is made by gastroscopy. Alternatively diagnosis is achieved by laparotomy which includes inspection of the suture line. Barium examination is seldom helpful. The acid output is low but not diagnostic. 4. 4. Treatment is by resection of the anastomosis and reconstitution using catgut. 5. 5. The exclusive use of absorbable suture material should abolish this form of recurrent ulcer.

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