title: The transhepatic route for the placement of a duodenojejunal stent: application in a postoperative closed loop obstruction of the duodenum.
abstract: A patient who had undergone gastric resection for carcinoma, had closed loop obstruction of the duodenum due to neoplasia at the duodenojejunal junction. The obstruction was relieved successfully by transhepatic placement of a duodenojejunal stent. We were compelled to use the transhepatic route because a Roux-Y reconstruction had been performed. Transhepatic placement may be the only chance of palliation in a small subset of patients with malignant intestinal obstruction.
authors.affiliation: Department of General Surgery, Hepatopancreatobiliary Surgery Unit, Istanbul Faculty of Medicine, Istanbul, Turkey. iozden@hotmail.com
authors.forename: I
authors.initials: I
authors.lastname: Ozden
authors.forename: A
authors.initials: A
authors.lastname: Poyanli
authors.forename: A
authors.initials: A
authors.lastname: Kaygusuz
authors.forename: I
authors.initials: I
authors.lastname: Rozanes
authors.forename: A
authors.initials: A
authors.lastname: Alper
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D004380:Duodenal Obstruction / Q000601:surgery*; D004386:Duodenum; D006801:Humans; D007583:Jejunum; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D015607:Stents