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Annals of Surgical Innovation and Research

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Open Access 01-12-2012 | Case report

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

Authors: Martin Büsing, Hassan Shaheen, Raute Riege, Markus Utech

Published in: Annals of Surgical Innovation and Research | Issue 1/2012

Abstract

Introduction

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.

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Title: Gastroduodeno-plasty performed by distal gastric transection.- A new technique for large duodenal defect closure
Authors: Martin Büsing
Hassan Shaheen
Raute Riege
Markus Utech
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Annals of Surgical Innovation and Research / Issue 1/2012
Electronic ISSN: 1750-1164
DOI: https://doi.org/10.1186/1750-1164-6-6

At a glance: The STEP trials

Springer Medicine

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

Abstract

Introduction

Patient and method

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Patient and method

Conclusion

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