title: Duodenojejunostomy in gastric operations for postbulbar duodenal ulcer.
abstract: 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.
mesh_terms: D000368:Aged; D014670:Ampulla of Vater / Q000000981:diagnostic imaging / Q000601:surgery; D004381:Duodenal Ulcer / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000601:surgery*; D010439:Peptic Ulcer Perforation / Q000601:surgery*; D011859:Radiography; D013270:Stomach / Q000601:surgery; D014628:Vagotomy