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Biliogastric diversion for the management of high-output duodenal fistula: report of two cases and literature review.

ΤίτλοςBiliogastric diversion for the management of high-output duodenal fistula: report of two cases and literature review.
Publication TypeJournal Article
Year of Publication2009
AuthorsMilias, K., Deligiannidis N., Papavramidis T. S., Ioannidis K., Xiros N., & Papavramidis S.
JournalJ Gastrointest Surg
Volume13
Issue2
Pagination299-303
Date Published2009 Feb
ISSN1873-4626
Λέξεις κλειδιάAnastomosis, Roux-en-Y, Choledochostomy, Duodenal Diseases, Duodenostomy, Female, Humans, Intestinal Fistula, Jejunostomy, Male, Suture Techniques
Abstract

High-output duodenal fistula occurs as a result of a duodenal wall defect caused by gastroduodenal surgery, endoscopic sphincterotomy, duodenal injury, and tumors with high morbidity and mortality rate. A new technique for its management is reported along with literature review. This procedure consists of transection of the duodenum 2 cm distally to the pylorus, transection of the common bile duct, and end duodenostomy with or without suturing the duodenal wall defect. The continuity of the alimentary tract is reinstated by an end-to-end duodenojejunostomy, end-to-side choledochojejunostomy, and end-to-side Roux-en-Y jejunojejunostomy, obtaining biliogastric diversion from the duodenum and closure of the fistula. This technique was performed in two patients with excellent results.

DOI10.1007/s11605-008-0677-6
Alternate JournalJ. Gastrointest. Surg.
PubMed ID18825468

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