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Turk Tip Cemiyeti Mecmuasi Apr 1961
Topics: Ampulla of Vater; Bile Ducts; Cholelithiasis; Common Bile Duct Diseases; Disease; Duodenostomy; Duodenum; Humans
PubMed: 13900382
DOI: No ID Found -
Clinical Anatomy (New York, N.Y.) Nov 2014The superior mesenteric artery (SMA) syndrome is a rare but potentially life-threatening gastrointestinal condition. Over the years, it has been referenced by several... (Review)
Review
The superior mesenteric artery (SMA) syndrome is a rare but potentially life-threatening gastrointestinal condition. Over the years, it has been referenced by several names, the most common of which is Wilkie's syndrome. These numerous terminologies have made it difficult to estimate its true frequency in the general population. Common symptoms associated with this syndrome include intermittent postprandial abdominal pain, nausea, and bilious vomiting. Our review revealed that although it is currently well-defined in the literature, the diagnosis of SMA syndrome remains challenging as other disorders can mimic its presentation. However, CT angiography is currently favored in the literature for diagnosis as it can not only show the narrowed aorto-mesenteric angle and distance, but also the extent of duodenal obstruction. In addition, we found no consensus on the preferred mode of therapy once SMA syndrome is diagnosed. The agreement among authors is that the treatment options should be based on severity of the disease, using conservative measures as the first line of therapy in mild SMA syndrome. Duodenojejunostomy is the preferred surgical approach when conservative management fails, or in severe cases.
Topics: Angiography; Duodenal Obstruction; Duodenostomy; Duodenum; Humans; Jejunostomy; Mesenteric Artery, Superior; Superior Mesenteric Artery Syndrome; Tomography, X-Ray Computed
PubMed: 23959808
DOI: 10.1002/ca.22249 -
The Surgical Clinics of North America Aug 1996Duodenal trauma, with early diagnosis and prompt treatment, can be managed effectively by simple surgical techniques. Severe duodenal injuries and those associated with... (Review)
Review
Duodenal trauma, with early diagnosis and prompt treatment, can be managed effectively by simple surgical techniques. Severe duodenal injuries and those associated with major destruction of adjacent structures (the pancreaticobiliary complex or abdominal vessels) require a more thoughtful strategy that incorporates a careful consideration of the physiologic stability of the patient and the extent of local destruction. Figure 8 summarizes these concepts in an algorithm.
Topics: Algorithms; Duodenostomy; Duodenum; Hemodynamics; Humans; Pancreatectomy; Suture Techniques; Wounds and Injuries
PubMed: 8782474
DOI: 10.1016/s0039-6109(05)70481-3 -
Journal of Gastrointestinal Surgery :... May 2022
Topics: Anastomosis, Surgical; Duodenostomy; Gastric Bypass; Humans; Neoplasms; Pancreatic Neoplasms; Robotic Surgical Procedures; Treatment Outcome
PubMed: 35132565
DOI: 10.1007/s11605-022-05263-7 -
Abdominal Radiology (New York) Feb 2020Pancreas transplantation is considered the curative treatment for severe type 1 diabetes mellitus in selected cases. Since the first procedure in 1966, surgical... (Review)
Review
Pancreas transplantation is considered the curative treatment for severe type 1 diabetes mellitus in selected cases. Since the first procedure in 1966, surgical techniques have been improved. The current trend among most medical centers, as well as at our Institution, is enteric drainage and systemic venous or portal anastomosis. The aim of this pictorial essay is to describe the main imaging features of pancreatic transplantation with duodenoduodenostomy drainage.
Topics: Diabetes Mellitus, Type 1; Drainage; Duodenostomy; Humans; Pancreas Transplantation; Postoperative Complications; Prognosis
PubMed: 31616962
DOI: 10.1007/s00261-019-02267-x -
Surgery For Obesity and Related... Mar 2019Duodenal switch and single anastomosis modifications continue to gain greater interest among bariatric surgeons. Limiting factors to adoption include concerns around the...
BACKGROUND
Duodenal switch and single anastomosis modifications continue to gain greater interest among bariatric surgeons. Limiting factors to adoption include concerns around the nutritional management, patient compliance and follow-up, and the technical challenge of the operation. The majority of techniques offered currently use a hand-sewn duodenoileostomy. This approach is limited by the steep learning curve as well as longer operating times.
OBJECTIVES
We present a video demonstrating the fully stapled technique for duodenoileostomy and ileileostomy. We offer technical pearls around the technique, specifically focused on maintaining a widely patent anastomosis, open biliopancreatic limb, safe duodenal dissection, and correct loop orientation.
METHODS
Laparoscopic fully stapled duodenoileostomy for duodenal switch and single anastomosis modification.
SETTING
Community hospital, single institution, 3 surgeons.
CONCLUSION
Triple staple offers a reproducible and safe technique for the duodenoileostomy and specifically for construction of a Roux or loop anastomosis in duodenal switch.
Topics: Duodenostomy; Gastric Bypass; Humans; Ileostomy; Laparoscopy; Obesity, Morbid; Surgical Stapling
PubMed: 30765292
DOI: 10.1016/j.soard.2018.12.031 -
Minnesota Medicine May 1961
Topics: Duodenostomy; Duodenum; Gastrectomy; Humans; Minnesota
PubMed: 13768328
DOI: No ID Found -
Acta Chirurgica Scandinavica Dec 1952
Topics: Bile Ducts; Biliary Tract Surgical Procedures; Common Bile Duct; Duodenostomy; Dyskinesias; Gallbladder; Humans
PubMed: 13039812
DOI: No ID Found -
RoFo : Fortschritte Auf Dem Gebiete Der... Mar 2005To present our experience with direct percutaneous radiologic duodenostomy and jejunostomy (PRJ) for alimentation. (Comparative Study)
Comparative Study
PURPOSE
To present our experience with direct percutaneous radiologic duodenostomy and jejunostomy (PRJ) for alimentation.
MATERIALS AND METHODS
A retrospective study identified 24 patients who had undergone percutaneous jejunostomy or duodenostomy guided by CT and fluoroscopy over a period of 9 years. Whenever possible, the jejunum was inflated with a 5 French diagnostic catheter and jejunopexy was performed using Cope anchors (T-fasteners). A 12 to14 French locking pigtail drain was inserted for alimentation. In 8 patients, percutaneous direct jejunostomy was performed using only fluoroscopy. In 9 patients, both CT and fluoroscopy were used to guide the jejunostomy. In all 7 patients who underwent duodenostomy, a combination of CT and fluoroscopy was used. The reports were reviewed for complications and the technical success rate. The technical success rate was determined.
RESULTS
Percutaneous radiologic jejunostomy was attempted in 17 patients and failed in 5 patients. PRJ was successful in all 8 procedures guided by fluoroscopy and in 4 of 9 procedures guided by CT and fluoroscopy. Direct percutaneous duodenostomy guided by CT and fluoroscopy was successful in all 7 cases. There were no procedure-related laparotomies and no mortality related to the jejunostomy. Minor complications were infection of the abdominal wall (n = 1), lingering pain requiring a new jejunostomy (n = 1) and aspiration because of persistent reflux (n = 1).
CONCLUSION
PRJ is a safe procedure even in critically ill patients. It is technically difficult and may fail if the jejunum cannot be distended. Percutaneous radiologic duodenostomy and jejunostomy are recommended for prolonged alimentation of malnourished patients following esophageal or gastric surgery.
Topics: Critical Illness; Duodenostomy; Enteral Nutrition; Female; Fluoroscopy; Humans; Jejunostomy; Male; Postoperative Care; Radiography, Interventional; Retrospective Studies; Safety; Tomography, X-Ray Computed
PubMed: 15719302
DOI: 10.1055/s-2004-813916 -
American Journal of Surgery Sep 2009Giant duodenal ulcer (GDU) perforation remains an extremely uncommon but a rather challenging condition to manage wherein routine surgical procedures are fraught with an...
BACKGROUND
Giant duodenal ulcer (GDU) perforation remains an extremely uncommon but a rather challenging condition to manage wherein routine surgical procedures are fraught with an extremely high incidence of failure and mortality. It therefore follows that this condition must be identified and managed differently at laparotomy than are most duodenal perforations. We describe a method by which to deal with this condition using triple-tube-ostomy.
METHODS
In a prospective setting, 20 patients underwent surgery using the technique described in the article. During the same period, 20 patients with GDU perforation, who were managed in the conventional manner, were evaluated. The outcomes of the 2 groups were compared.
RESULTS
The success rate was 100% in the study group compared with 30% in the control patients.
CONCLUSIONS
Based on the ease of the technique and the high success of the procedure in our experience in this select group, we recommend this procedure for the management of GDU perforation as a safe, reliable, and easy technique to learn.
Topics: Adult; Duodenal Ulcer; Duodenostomy; Female; Humans; Length of Stay; Male; Middle Aged; Omentum; Peptic Ulcer Perforation; Prospective Studies; Risk Factors; Treatment Outcome
PubMed: 19306982
DOI: 10.1016/j.amjsurg.2008.09.028