Use of pyloric exclusion with a double jejunostomy in the treatment of a serious duodenal lesion in a child.
A 3-year-old male was beaten by his stepfather, resulting in a lesion of the third portion of the duodenum that was treated with an occlusive suture of the pyloric mucosa for pyloric exclusion and a gastric-jejunal anastomosis with a double jejunostomy for alimentation with a good result, no serious complications, and relatively a short hospitalization. This procedure may be an alternative for other similar cases.
Department of Pediatric Surgery, Saint Marcelina's Hospital, Sao Paulo, S.P., Brazil.
A R
AR
Mello Filho
J L
JL
Martins
V R
VR
Marinho
E C S
EC
Martins
D000006:Abdomen, Acute / Q000601:surgery; D002675:Child, Preschool; D004386:Duodenum / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007582:Jejunostomy / Q000379:methods*; D008297:Male; D011708:Pylorus / Q000601:surgery*; D013536:Suture Techniques