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.
Department of Surgical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India.
S V S
SV
Deo
Madhabananda
M
Kar
N K
NK
Shukla
Joydeep
J
Purkayastha
Diganta Kr
DK
Das
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