The Whipple procedure and periampullary duodenojejunostomy
with gastrojejunostomy have been described for DN (2,3).
Completion anastomoses were by means of end-to-side, duct-to-mucosa pancreaticojejunostomy (PJ) or pancreatogastrostomy (PG), end-to-side hepaticojejunostomy (HJ) and duodenojejunostomy
(DJ) or gastrojejunostomy (GJ).
Otherwise, if such injury is distal to the ampulla of Vater, closure of distal duodenum and Roux-en-Y duodenojejunostomy
is the procedure of choice.
In patients who are refractory to nutrition therapy or have anatomic abnormalities as the underlying etiology, surgical intervention such as Strong's procedure,[sup] gastrojejunostomy, or duodenojejunostomy
[sup] may be considered.
If conservative management fails, surgical management includes duodenojejunostomy
, gastrojejunostomy, or even lysis of the ligament of Treitz with derotation of the bowel (Strong procedure) may be utilized.
Ten days after the surgery, the duodenostomy dehisced and a roux-en-y duodenojejunostomy
He had intestinal obstruction due to multiple bowel hematomas and underwent jejunal resection with a duodenojejunostomy
In duodenal obstruction due to the presence of a PDPV a bypass procedure, such as a duodenoduodenostomy or side to side duodenoduonestomy, duodenogastrosotmy or duodenojejunostomy
(1,2,3,4,5) are suggested.
Reconstruction comprised only of hepaticojejunostomy and duodenojejunostomy
(1) Adeyemi Side-to-side duo- (10) deno-jejunostomy Adeyemi Normal Duodenoplasty, (10) diaphragm excision Adeyemi Normal Side-to-side duo- (10) deno-jejunostomy Ruben et al.