Vol 6: Gastroduodeno-plasty performed by distal gastric transection.- A new technique for large duodenal defect closure.Reportar como inadecuado



 Vol 6: Gastroduodeno-plasty performed by distal gastric transection.- A new technique for large duodenal defect closure.


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This article is from Annals of Surgical Innovation and Research, volume 6.AbstractIntroduction: Duodenal ulcer lesions can represent a surgical challenge, especially if the duodenal wall is chronically inflamed, the defect exceeds a diameter of 3 cm and the ulceration is located in the second part of the duodenum. Patient and method: We present the case of a 70-year-old male, who suffered from a 3 x 4 cm duodenal defect caused by duodenal pressure necrosis due to a 12.5 x 5.5 x 5 cm gallstone. Additionally, this stone caused intestinal obstruction (Bouveret’s syndrome) and bleeding with signs of shock. Besides the gallstone extraction, the common bile duct was drained by a T-tube and the duodenal defect closure was performed by a gastroduodeno-plasty and Bilroth II gastroenterostomy. The postoperative phase was uneventful. The reconstructed duodenum was endoscopically accessible and showed no pathological findings on follow-up. Conclusion: The reconstruction of a large defect (> 3 cm) of the second part of the duodenum is safely feasible by a gastroduodeno-plasty. The critical gastroduodenal anastomosis can be protected by duodenal decompression, achieved by placing a T-tube in the common bile duct.



Autor: Busing, Martin; Shaheen, Hassan; Riege, Raute; Utech, Markus

Fuente: https://archive.org/







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