A planned duodenal tube fistula was used In conjunction with partial gastrectomy to avoid closure of a difficult duodenal stump. Because the patient refused adequate oral feedings for various reasons, despite a functional and patent intestinal tract, the duodenostomy tube was used for alimentation. Removal of such tubes should be delayed in such patients until their oral intake is satisfactory.
Oakes DD, Couch NP. A New Use for Catheter DuodenostomyPostoperative Enteric Alimentation. Arch Surg. 1975;110(7):845-846. doi:10.1001/archsurg.1975.01360130077018