• In two cases, two different techniques of duodenojejunostomy were employed as an alternative to an insecure closure of the "difficult duodenal stump." The arrangements are either duodenojejunostomy Roux-en-Y or isoperistaltic jejunal interposition. A single-layered suture line is employed. The ampulla of Vater is visualized during the construction of these anastomoses. In addition to obviating a tenuous stump closure, this technique has the theoretical advantage of providing internal drainage.
(Arch Surg 111:955-957, 1976)
Chung RSK, DenBesten L. Duodenojejunostomy in Gastric Operations for Postbulbar Duodenal Ulcer. Arch Surg. 1976;111(9):955-957. doi:10.1001/archsurg.1976.01360270027004