Cholecystoduodenoplasty for high-output duodenal fistula.
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Date
2001-05-13
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Abstract
External duodenal fistulae from sutured duodenal ulcer perforation sites are difficult to manage and most patients succumb to septicemia and undernutrition. This is due to failure of closure of the perforation site in the duodenum. Most techniques described in the past to facilitate closure have failed to give satisfactory results. We have devised a new procedure where the duodenal ulcer perforation is closed by mobilizing the gall bladder. A hole is made in the fundus of the gall bladder and it is anastomosed to the freshened edges of the duodenal opening. We have treated six patients by this technique. In five patients the leak was satisfactorily sealed. Three patients died - one due to persistent leak and two due to jejunostomy leak.
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Rohondia OS, Bapat RD, Husain S, Shriyan PG, Pradhan R, Kumar KS. Cholecystoduodenoplasty for high-output duodenal fistula. Indian Journal of Gastroenterology. 2001 May-Jun; 20(3): 107-8