The defect should be closed by the application of healthy tissue, such as omentum or jejunal serosa, with placement of duodenostomy
tube and wide bore drainage tube.
Various surgical techniques such as pedicled flap duodenal resection with end-to-end duodenostomy
pyloric exclusion application of a synthetic mesh and jejunal serosal patching have been used to manage severe duodenal defects.
Because of anesthetic risks, ingluviostomy or duodenostomy
tube placement (30) were not attempted.
Sphincteroplasty and choledocho- duodenostomy
for benign biliary obstruction.
Duodenal 'diverticulisation' is the most radical of these procedures with primary closure of the duodenal wound, a vagotomy, an antrectomy with an end-to-side gastrojejunostomy, T-tube common bile duct drainage, and a tube duodenostomy
Traditional Kasai portoenterostomy, gall bladder Kasai, and porto-appendiceal duodenostomy
have been utilised for biliary atresia.