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Table 4 Surgical procedures performed in 38 patients undergoing initial operative management of a duodenal leak

From: Complex duodenal fistulae: a surgical nightmare

 

n

%

Suture closure of the duodenal leak

30

79

Resection with duodenal or duodenojejunal anastomosis

6

16

Rectus muscle patch only

1

3

Duodenal decompression (and T-tube) only

1

3

Additional decompression methods

  

Nasogastroduodenal tube

16

42

Retrograde duodenal tube

17

45

Biliary diversion (T-tube or PTC*)

16

42

Nasogastric tube

34

89

Additional procedures

  

Periduodenal external drain

38

100

Feeding jejunostomy

24

63

  1. *PTC, percutaneous transhepatic cholangiography