Abstract
A 62-year-old man developed a refractory duodeno-cutaneous fistula after undergoing an operation for postoperative adhesion. Five previous simple anastomotic closure failed at another hospital. He underwent long-term intraveous parental hyperalimentation and showed hypoablbuminemia. We started elementary diet and performed an adhesiotomy electively. After successful dissection of postoperative adhesion, the duodenal defect was covered with elevated jejunum, and side-to-side duodeno-jejunostomy was performed. To facilitate decompression of he duodenum, a cholecystostomy and insertion of a cannula into the pancreatic duct was carried out. His postoperative course was uneventful. The large duodenal defect was a good candidate for a side to side anastomosis using elevated jejunal segment in such as this case.
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Schedule a callMore From: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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