Ileal conduit for reconstruction of the duodenum following right hemicolectomy and pancreaticoduodenectomy for malignant duodenocolic fistula.
We describe a case of malignant duodenocolic fistula in which after a radical resection of right hemicolectomy and pancreaticoduodenectomy, the duodenal defect was reconstructed using a conduit of transposed ileum. This technique, not previously described, offers an alternative to 'duodenal patching', which allows only limited duodenal resection, or gastroenterostomy with its attendant side-effects such as dumping syndrome.
Ohri
A K
AK
Oxford University Officers' Training Corps.
Ohri
S K
SK
D000368:Aged; D003082:Colectomy / Q000379:methods; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery*; D004378:Duodenal Diseases / Q000209:etiology / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000150:complications / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D016737:Proctocolectomy, Restorative / Q000379:methods*