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July 1973

Lateral T-Tube DuodenostomyDuodenal Stump Management and Manometrics

Author Affiliations

New York
From the Department of Surgery, Montefiore Hospital and Medical Center, Morrisania Division, Albert Einstein College of Medicine, New York.

Arch Surg. 1973;107(1):89-90. doi:10.1001/archsurg.1973.01350190075021

Duodenal stump pressures were measured in 27 patients after Billroth II gastric resection by lateral T-tube duodenostomy. No manometric differences were found under comparable situations for various types of gastric reconstructions. Equivalent rises in duodenal stump pressures occurred with maneuvers that increased intraperitoneal pressure as well as postcibal pressure. It is suggested that lateral T-tube duodenostomy may serve as an alternative to prolonged nasogastric intubation, obviating several of the complications associated with the latter. Additionally, this procedure enables decompression of the difficult duodenal stump or that where frank leakage has occurred.