A new technique of postoperative pancreatico gastric enterocutaneous fistula repair using de-tubularised afferent loop.

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2004-04-09
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Postoperative fistula involving upper gastrointestinal tract surgery is a rare but troublesome occurrence. Reoperation on these patients is challenging and needs to be individualised. Various methods are described including primary closure, bypass procedures, serosal patch repair and Roux-en-Y repair. We present a new technique of repair using afferent loop that provided a vascularized bowel segment, which used in an anatomical fashion for closure of fistula.
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Deo SV, Kar M, Shukla NK, Purkayastha J, Das DK. A new technique of postoperative pancreatico gastric enterocutaneous fistula repair using de-tubularised afferent loop. Tropical Gastroenterology. 2004 Apr-Jun; 25(2): 86-8