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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2011, Number 3

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An Med Asoc Med Hosp ABC 2011; 56 (3)

Pyloric exclusion and gastrojejunostomy anastomosis in Braun’s omega: An additional option for management of complex duodenal perforation

Asz SJ, Santos JKA
Full text How to cite this article

Language: Spanish
References: 5
Page: 156-158
PDF size: 81.13 Kb.


Key words:

Pyloric exclusion, duodenal perforation, antiphospholipid syndrome, Braun omega, pediatrics.

ABSTRACT

Pyloric exclusion is a surgical technique used with good results for the treatment of complex duodenal perforations, but a simple gastrojejunostomy produces stasis in the afferent loop and severe biliary reflux. To avoid these problems, some surgical techniques such as the Braun´s omega or the Roux-en-Y gastrojejunostomy with jejunojejunostomy, have been described. We report a case of duodenal perforation caused by the antiphospholipid syndrome that was successfully managed with pyloric exclusion and a Braun omega.


REFERENCES

  1. Braun H. Ueber die Gastro-enterostomie and Gleichzeutig Ausgefuhrte. Arch Klin Chir 1893; 45: 361.

  2. Mello Filho AR, Martins JL, Marinho VR, Martins ECS. Use of pyloric exclusion with a double jejunostomy in the treatment of a serious duodenal lesion in a child. Pediatr Surg Int 2003; 19: 122-123.

  3. Vogel SB, Drane WE, Woodward ER. Clinical and radionuclide evaluation of bile diversion by Braun enteroenterostomy: Prevention and treatment of alkaline reflux gastritis. Ann Surg 1994; 219: 458-466.

  4. Noh SM. Improvement of the Roux limb function using a new type of «uncut Roux» limb. Am J Surg 2000; 180: 37-40.

  5. Noh SM, Jeong HY, Cho JS et al. New type of reconstruction method after subtotal gastrectomy (Noh´s operation). World J Surg 2003; 27: 562-566.




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An Med Asoc Med Hosp ABC. 2011;56