[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
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
Abstract

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.

References
1.
Lippert KM, Coleman HV:  Duodenostomy in gastric resection for duodenal ulcer . Am J Surg 95:781-786, 1958.Article
2.
Mayfield RC, Abramson PD:  The use of catheter duodenostomy in subtotal gastrectomy . Am J Surg 90:998-1001, 1955.Article
3.
McEachern CG, Sullivan RE, Avata JE:  Duodenostomy . Arch Surg 72:942-947, 1956.Article
4.
Priestly JT, Butler DB:  Technique for management of duodenal stump in certain cases of partial gastrectomy for duodenal ulcer . Am J Surg 82:163-168, 1951.Article
5.
Welch CE, Radkey GV:  Method of management of duodenal stump after gastrectomy . Surg Gynecol Obstet 98:376-379, 1954.
×