title: Roux-en-Y operation in the management of postoperative fistula.
abstract: 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.
mesh_terms: D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D004378:Duodenal Diseases / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000601:surgery*; D007583:Jejunum / Q000601:surgery; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D013272:Stomach Diseases / Q000601:surgery*