From: Endoscopic duodenal perforation: surgical strategies in a regional centre
Case/series | N = | Range of management strategies for: | Average days in hospital | Case fatality (%) | ||
---|---|---|---|---|---|---|
Duodenal injury | Retroperitoneal necrosis | Underlying pathology | ||||
Stapfer et al. 2000 [13] | 8 | Pyloric exclusion and gastro-jejunostomy | Drain placement | Cholecystectomy | 62.9 | 2 (25%) |
Tube duodenostomy | Â | CBD exploration | ||||
Duodeno-antrectomy | Â | Hepatico-jejunostomy | ||||
Preetha et al. 2003 [25] | 13 | Primary repair | Not described | Cholecystectomy | 23.8 | 3 (23.1%) |
Pyloric exclusion and gastro-jejunostomy | Â | CBD exploration | ||||
T-tube | Â | Hepatico-jejunostomy | ||||
Bowel decompression | Â | Â | Â | Â | ||
Kalyani et al. 2005 [26] | 1 | Jejunal serosal patch | Not required | Nil required | >15 | 0 (0%) |
Melita et al. 2005 [27] | 1 | Nil required | CT-guided abscess drainage | Nil required | Not specified | 0 (0%) |
Wu et al. 2006 [18] | 10 | Primary repair | Drain placement | Cholecystectomy | 31.4 | 4 (40%) |
Omental patch | Open abscess drainage | CBD exploration | ||||
Duodenostomy | Percutaneous abscess drainage | Cholecysto-jejunostomy | ||||
Fatima et al. 2007 [28] | 22 | Primary repair | Drain placement | Choledocho-jejunostomy | 16 | 3 (13.6%) |
Omental patch | Â | Â | ||||
Knudson et al. 2008 [29] | 12 | Primary repair | Drain placement | Hepatico-jejunostomy | 4.5 | 0 (0%) |
T-tube | Open abscess drainage | Â | ||||
Omental patch | Â | Â | ||||
Duodenostomy tube | Â | Â | ||||
Gastrostomy | Â | Â | ||||
Jejunostomy tube | Â | Â | ||||
Pyloric exclusion | Â | Â | ||||
Mao et al. 2008 [30] | 3 | Nil required | Drain placement | Cholecystectomy | 50 | 0 (0%) |
CBD exploration | ||||||
T-tube | ||||||
Angiò et al. 2009 [31] | 1 | Kocherization and primary repair | Not described | CBD exploration | 23 | 0 (0%) |
Avgerinos et al. 2009 [19] | 15 | Primary repair | Not described | Choledocho-duodenostomy | 42 | 3 (20%) |
Omental patch | Â | |||||
Pyloric exclusion | Â | |||||
Gastro-enterostomy | Â | |||||
Morgan et al. 2009 [32] | 10 | Primary repair gastrojejunostomy | Drain placement | Â | Not available | 1 (10%) |
Dubecz et al. 2012 [33] | 4 | Primary repair | Not described | Hepatico-jejunostomy | 23 | 0 (0%) |
T-tube | Â | Â | ||||
Ercan et al. 2012 [21] | 13 | Primary repair | Percutaneous abscess drainage | Cholecystectomy | 10.2 | 6 (46.2%) |
Pyloric exclusion | Open abscess drainage | CBD exploration | ||||
Gastro-enterostomy | Â | T-tube | ||||
Caliskan et al. 2013 [34] | 9 | Primary repair | Not described | CBD exploration | 22.6 | 4 (44.4%) |
Duodenostomy | Â | T-tube | ||||
Pyloric exclusion, gastro-jejunostomy | Â | Pancreatico-duodenectomy |