Abstract:
Objective The most successful method of managing the
difficult duodenum, including the stump leakage, has been
the tube duodenostomy technique, but it has not gained
wide acceptance and is rarely used. The purpose of this
study is to describe the details of the procedure for indication,
technical approach, and postoperative care.
Methods During the period from 1998 to 2006, a tube
duodenostomy was performed in 31 patients for possible
insecure duodenal stump closure during gastric resection,
postoperative duodenal stump leakage, duodenal leak after
primary closure of duodenum for perforation or injury, or
anostomotic leak after choledochoduodenostomy. All of
the tube duodenostomies were performed through the open
end of the duodenum. We also inserted a T-tube into the
common bile duct in 19 of 31 patients (61.2 %) with tube
duodenostomy.
