• Four patients had complicated gastric and duodenal fistulas. In each patient, factors including marked inflammation and dense adhesions made dissection and mobilization difficult and hazardous. As a result, the standard recommended management of the fistulas was impossible. In each of these patients a Roux-en-Y operation was used successfully as an alternative procedure to seal the fistula. A successful outcome was experienced in each patient.
(Arch Surg 1981;116:614-617)
Ujiki GT, Shields TW. Roux-en-Y Operation in the Management of Postoperative Fistula. Arch Surg. 1981;116(5):614-617. doi:10.1001/archsurg.1981.01380170094017