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- W2013794587 abstract "Abstract Background Bowel repair in the septic abdomen can be problematic. This study investigated the use of a proximal loop jejunostomy to protect injured or fistulated bowel that had been returned to the abdomen after repair and/or anastomosis. Methods Ten patients who underwent laparotomy for intra-abdominal sepsis and/or fistulation, followed by distal enteric repair and/or anastomosis and construction of a proximal defunctioning loop jejunostomy, were studied retrospectively. Seven patients had 21 intestinal suture lines returned to the peritoneal cavity in the presence of intra-abdominal sepsis (14 anastomoses, two enterotomy closures and five serotomy repairs). Two patients had a difficult relaparotomy for pelvic abscess (two distal anastomoses, one enterotomy closure and three serotomy repairs). The final patient had pelvic sepsis and radiation enteritis; the distal anastomosis was defunctioned by a loop jejunostomy. Results The median distance from the duodenojejunal flexure to the loop stoma was 80 (range 30–170) cm. All jejunostomies were closed via a local approach, a median of 11 (range 9–18) months after formation. There was no significant postoperative morbidity and no postoperative death. At a median follow-up of 7 (range 0·5–56) months eight patients had no requirement for nutritional support. Conclusion Use of a loop jejunostomy to protect suture lines in the septic abdomen justifies consideration of this procedure in selected patients." @default.
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- W2013794587 date "2006-07-24" @default.
- W2013794587 modified "2023-10-16" @default.
- W2013794587 title "Proximal loop jejunostomy is a useful adjunct in the management of multiple intestinal suture lines in the septic abdomen" @default.
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- W2013794587 doi "https://doi.org/10.1002/bjs.5473" @default.
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