A new technique of postoperative pancreatico gastric enterocutaneous fistula repair using de-tubularised afferent loop.
Postoperative fistula involving upper gastrointestinal tract surgery is a rare but troublesome occurrence. Reoperation on these patients is challenging and needs to be individualised. Various methods are described including primary closure, bypass procedures, serosal patch repair and Roux-en-Y repair. We present a new technique of repair using afferent loop that provided a vascularized bowel segment, which used in an anatomical fashion for closure of fistula.
Deo
S V S
SV
Department of Surgical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India.
Kar
Madhabananda
M
Shukla
N K
NK
Purkayastha
Joydeep
J
Das
Diganta Kr
DK
D000328:Adult; D014670:Ampulla of Vater / Q000601:surgery; D000713:Anastomosis, Roux-en-Y; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D017577:Cutaneous Fistula / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005747:Gastric Fistula / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology / Q000601:surgery*; D008297:Male; D010185:Pancreatic Fistula / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation