Duodenal stump fistula following Roux-en-Y gastrectomy, treated with single-balloon enteroscopy using the tulip bundle technique and fibrin glue injection

2012/09/25 by Gabriele Curcio, G. Curcio, Roberta Badas +9 · 1 citation
Medicine · #Biliary and Gastrointestinal Fistulas #Esophageal and GI Pathology #Gastrointestinal disorders and treatments

paper · pdf · doi:10.1055/s-0032-1310073

Abstract

In January 2012, a 68-year-old woman underwent laparoscopic partial gastrectomy at our institute, with Roux-en-Y reconstruction for an ulcerated gastrointestinal stromal tumor. The postoperative course was complicated by development of a duodenal stump fistula and subhepatic collection ([Fig. 1]). Percutaneous drainage of the collection, as well as percutaneous transhepatic biliary drainage (PTBD), did not reduce the high output leakage. Because of worsening of the patient's clinical condition, and to avoid reintervention, we decided to carry out single-balloon enteroscopy to access the afferent loop and reach the duodenal stump. Informed consent was obtained from the patient.

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• Management of duodenal stump fistula after gastrectomy for malignant disease: a systematic review of the literature. [europepmc]

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