Pedicled ileal flap for duodenal defect after right hemicolectomy.
OBJECTIVE
To describe a convenient approach for repairing a large duodenal defect after right hemicolectomy for right side colon neoplasm.


METHODS
Six patients with a large duodenal defect after right hemicolectomy with partial duodenectomy for right side colon neoplasm were treated with a pedicled ileal flap to cover the large duodenal defect.


RESULTS
Six cases recovered smoothly. There was no perioperative morbidity and mortality in this series, except for one patient who had a duodenal leakage but who got well with medical treatment. Postoperative radiography showed normal duodenal peristalsis.


CONCLUSIONS
The pedicled ileal flap procedure for repairing a large duodenal defect after right hemicolectomy is safe and convenient, and is especially indicated for elderly patients or patients with poor general condition.
Yuan
Lianwen
L
Department of Geriatrics Surgery, The Second Xiangya Hospital of Center-South University, Changsha, Hunan 410011, PRC. yuanlianwen1971@yahoo.com.cn
Zhou
Jianping
J
Shu
Guoshun
G
Liu
Dongcai
D
Zhou
Jiapeng
J
D000328:Adult; D003082:Colectomy / Q000009:adverse effects*; D003110:Colonic Neoplasms / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007082:Ileum; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps