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The Australian and New Zealand Journal... Aug 1996
Topics: Duodenal Ulcer; Duodenostomy; Humans
PubMed: 8712993
DOI: 10.1111/j.1445-2197.1996.tb00811.x -
Journal of the College of Physicians... May 2013Duodenal trauma presents both diagnostic as well as management dilemma. In majority of duodenal trauma cases, primary duodenal repair is sufficient. But in complex...
Duodenal trauma presents both diagnostic as well as management dilemma. In majority of duodenal trauma cases, primary duodenal repair is sufficient. But in complex duodenal injuries, adjuvant procedures to protect suture line may prove to be helpful. Herein, we share our experience of managing 4 cases of blunt duodenal injuries who presented in emergency at the hospital from 2008 to 2011. All 4 cases had followed road traffic accidents. Their intra-operative findings, operative procedures, complications, and recovery time were recorded and described.
Topics: Accidents, Traffic; Adolescent; Duodenostomy; Duodenum; Humans; Male; Middle Aged; Trauma Centers; Treatment Outcome; Wounds, Nonpenetrating; Young Adult
PubMed: 23673176
DOI: No ID Found -
JOP : Journal of the Pancreas May 2014Optimal management of penetrating pancreaticoduodenal injuries and better outcomes are associated with simple, fast damage control surgery and shorter operative time....
CONTEXT
Optimal management of penetrating pancreaticoduodenal injuries and better outcomes are associated with simple, fast damage control surgery and shorter operative time. The performance of pyloric exclusion and tube duodenostomy has markedly decreased. However, there is still a trend toward their performance in cases of delay duodenal repair or severe pancreaticoduodenal injury.
CASE REPORT
The present report describes a case of a hemodynamically stable patient with a single penetrating gunshot trauma causing an AAST-OIS grade III pancreatic head injury and grade IV injury of the second portion of the duodenum. The patient was treated in our Level IV rural trauma center and submitted to primary closure of the posterolateral duodenal wall (the laceration of the contralateral inner medial duodenal wall could not be repaired), external duodenal and pancreatic drainage, and duodenal decompression by tube pancreatico-duodenostomy (insertion of a 18 Fr Foley catheter through the laceration of the pancreatic head toward the duodenal lumen), tube cholangiostomy, and pyloric exclusion accompanied with a feeding jejunostomy.
CONCLUSIONS
Tube pancreatico-duodenostomy, which is described for the first time in the literature, turned out to be effective and can be considered as an option in pancreaticoduodenal trauma when the inner medial duodenal wall cannot be repaired.
Topics: Adult; Duodenostomy; Duodenum; Hemoperitoneum; Hemostatic Techniques; Humans; Male; Pancreas; Pancreaticoduodenectomy; Suture Techniques; Trauma Severity Indices; Treatment Outcome; Wounds, Gunshot
PubMed: 24865536
DOI: 10.6092/1590-8577/2499 -
AJR. American Journal of Roentgenology Aug 1989
Topics: Duodenostomy; Duodenum; Enteral Nutrition; Enterostomy; Female; Humans; Middle Aged; Peritoneal Dialysis; Radiography
PubMed: 2501977
DOI: 10.2214/ajr.153.2.299 -
Chirurgia (Bucharest, Romania : 1990) 2009Superior mesenteric artery syndrome is extremely rare and is characterized by postprandial epigastric pain, nausea, vomiting and loss of appetite, with subsequent weight... (Review)
Review
Superior mesenteric artery syndrome is extremely rare and is characterized by postprandial epigastric pain, nausea, vomiting and loss of appetite, with subsequent weight loss, which aggravates the condition of the patients. The syndrome is caused by compression of the third part of the duodenum in the angle between the aorta and the superior mesenteric artery. This review updates etiology, epidemiology, diagnosis, treatment and outcome of the superior mesenteric artery syndrome. Superior mesenteric artery syndrome is clearly defined and frequently associated with a wide range of predisposing conditions and surgical procedures.
Topics: Abdominal Pain; Anorexia; Diagnosis, Differential; Duodenostomy; Enteral Nutrition; Humans; Jejunostomy; Nausea; Superior Mesenteric Artery Syndrome; Treatment Outcome; Vomiting; Weight Loss
PubMed: 19388563
DOI: No ID Found -
Surgical Endoscopy 1987Surgeons are increasingly using endoscopy to place transabdominal feeding tubes for enteral nutrition or gastric decompression. A possible extension for the application...
Surgeons are increasingly using endoscopy to place transabdominal feeding tubes for enteral nutrition or gastric decompression. A possible extension for the application of this new technique is the direct placement of the feeding tube into the duodenal bulb. Two patients are presented in whom percutaneous endoscopic duodenostomy was successfully performed, although percutaneous endoscopic gastrostomy was not possible. It shows that this new method is technically possible. In both patients the positive influence of this technique on the patient's quality of life could be shown using the Spitzer Quality of Life Index and the Karnofsky Performance Status. Enteral nutrition was maintained for more than 6 weeks.
Topics: Aged; Aged, 80 and over; Duodenoscopy; Duodenostomy; Enteral Nutrition; Enterostomy; Esophageal Neoplasms; Humans; Intubation, Gastrointestinal; Middle Aged; Palliative Care; Stomach Neoplasms
PubMed: 2459790
DOI: 10.1007/BF00312700 -
HPB : the Official Journal of the... Jul 2012Endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an... (Comparative Study)
Comparative Study
BACKGROUND
Endoscopic ultrasonography (EUS)-guided choledochoduodenostomy (CDS) is an alternative to percutaneous transhepatic cholangiography (PTC) drainage in patients with an obstructed biliary system where conventional endoscopic retrograde biliary drainage (ERBD) has been unsuccessful.
METHODS
Five EUS-CDS procedures were reviewed to assess whether successful decompression was achieved and maintained.
RESULTS
There was technical success in each instance with no immediate complications. There was a significant fall in the median bilirubin of 164 mmol/l. The median follow-up was 44 days. In one patient the stent migrated with no adverse outcome.
CONCLUSION
EUS-CDS is a viable alternative to PTC with fewer complications and comparable success rates. EUS-CDS may offer a future route for novel therapeutic advances.
Topics: Aged; Bilirubin; Biomarkers; Cholangiopancreatography, Endoscopic Retrograde; Choledochostomy; Cholestasis; Decompression, Surgical; Duodenostomy; Endosonography; England; Female; Humans; Male; Middle Aged; Stents; Time Factors; Treatment Outcome; Ultrasonography, Interventional
PubMed: 22672551
DOI: 10.1111/j.1477-2574.2012.00480.x -
Current Surgery 2004
Review
Topics: Duodenal Ulcer; Duodenostomy; Duodenum; Fundoplication; Gastrectomy; Gastric Stump; Gastroenterostomy; Humans; Risk Factors; Rupture, Spontaneous; Stomach Rupture; Suture Techniques; Treatment Outcome; Vagotomy
PubMed: 15051257
DOI: 10.1016/j.cursur.2003.06.002 -
American Journal of Surgery Jul 1951
Topics: Amputation Stumps; Duodenal Ulcer; Duodenostomy; Duodenum; Gastrectomy; Gastroenterostomy; Humans; Peptic Ulcer
PubMed: 14838236
DOI: 10.1016/0002-9610(51)90314-5 -
Surgical Laparoscopy, Endoscopy &... Jun 2009A 78-year-old male, who had undergone left upper lobectomy because of traumatic pulmonary contusion at the age of 25 years, succumbed to left hemiplegia with impaired...
A 78-year-old male, who had undergone left upper lobectomy because of traumatic pulmonary contusion at the age of 25 years, succumbed to left hemiplegia with impaired consciousness that was caused by right putaminal hemorrhage. Aspiration pneumonia was complicated and he was set on tracheostomy and tube feeding through a nasogastric tube. Although it was apparent that enteral nutrition through the percutaneous endoscopic gastrostomy was appropriate for him, performing a percutaneous endoscopic gastrostomy seemed impossible as the computed tomography revealed that the elevated stomach was located behind the heart. In this patient, we successfully performed a direct percutaneous endoscopic duodenostomy without any complication.
Topics: Aged; Deglutition Disorders; Duodenostomy; Endoscopy, Gastrointestinal; Enteral Nutrition; Follow-Up Studies; Humans; Male; Tomography, X-Ray Computed
PubMed: 19542839
DOI: 10.1097/SLE.0b013e31819fa73b