Draining T-tube jejunostomy

A technique to get out of trouble

Oscar K. Serrano, Ian Solsky, Eduardo Sandoval, Arnold William Berlin, Sarah Bellemare

Research output: Contribution to journalArticle

Abstract

A perforated viscus in the postpancreaticoduodenectomy setting is a rare phenomenon and a devastating complication. In this situation, adherence to damage-control principles demands minimizing the operative intervention while addressing the intestinal perforation as a way to mitigate the injurious effects on a complex gastrointestinal reconstruction. Herein, we describe our intraoperative decision-making with an unconventional approach in the management of a perforated viscus in the postpancreaticoduodenectomy setting using a draining T-tube jejunostomy. Our patient recovered remarkably well from this and was discharged from the hospital in six days with a controlled draining T-tube jejunostomy, which was subsequently removed on postoperative day 35. Our case illustrates an important option when dealing with a perforated viscus in the complex gastrointestinal surgery patient that has minimal morbidity, adequate source control, and the potential for an excellent clinical outcome. As surgical care continues to be delivered in a specialty-driven manner, a draining T-tube jejunostomy presents the ideal technique to get out of trouble for the general surgeon practicing in the community who may not be as experienced with complex gastrointestinal surgery.

Original languageEnglish (US)
Pages (from-to)522-525
Number of pages4
JournalAmerican Surgeon
Volume82
Issue number6
StatePublished - Jun 1 2016

Fingerprint

Jejunostomy
Viscera
Intestinal Perforation
Decision Making
Morbidity

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Draining T-tube jejunostomy : A technique to get out of trouble. / Serrano, Oscar K.; Solsky, Ian; Sandoval, Eduardo; Berlin, Arnold William; Bellemare, Sarah.

In: American Surgeon, Vol. 82, No. 6, 01.06.2016, p. 522-525.

Research output: Contribution to journalArticle

Serrano, OK, Solsky, I, Sandoval, E, Berlin, AW & Bellemare, S 2016, 'Draining T-tube jejunostomy: A technique to get out of trouble', American Surgeon, vol. 82, no. 6, pp. 522-525.
Serrano, Oscar K. ; Solsky, Ian ; Sandoval, Eduardo ; Berlin, Arnold William ; Bellemare, Sarah. / Draining T-tube jejunostomy : A technique to get out of trouble. In: American Surgeon. 2016 ; Vol. 82, No. 6. pp. 522-525.
@article{e11ee118234249deb516a5544856caf2,
title = "Draining T-tube jejunostomy: A technique to get out of trouble",
abstract = "A perforated viscus in the postpancreaticoduodenectomy setting is a rare phenomenon and a devastating complication. In this situation, adherence to damage-control principles demands minimizing the operative intervention while addressing the intestinal perforation as a way to mitigate the injurious effects on a complex gastrointestinal reconstruction. Herein, we describe our intraoperative decision-making with an unconventional approach in the management of a perforated viscus in the postpancreaticoduodenectomy setting using a draining T-tube jejunostomy. Our patient recovered remarkably well from this and was discharged from the hospital in six days with a controlled draining T-tube jejunostomy, which was subsequently removed on postoperative day 35. Our case illustrates an important option when dealing with a perforated viscus in the complex gastrointestinal surgery patient that has minimal morbidity, adequate source control, and the potential for an excellent clinical outcome. As surgical care continues to be delivered in a specialty-driven manner, a draining T-tube jejunostomy presents the ideal technique to get out of trouble for the general surgeon practicing in the community who may not be as experienced with complex gastrointestinal surgery.",
author = "Serrano, {Oscar K.} and Ian Solsky and Eduardo Sandoval and Berlin, {Arnold William} and Sarah Bellemare",
year = "2016",
month = "6",
day = "1",
language = "English (US)",
volume = "82",
pages = "522--525",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "6",

}

TY - JOUR

T1 - Draining T-tube jejunostomy

T2 - A technique to get out of trouble

AU - Serrano, Oscar K.

AU - Solsky, Ian

AU - Sandoval, Eduardo

AU - Berlin, Arnold William

AU - Bellemare, Sarah

PY - 2016/6/1

Y1 - 2016/6/1

N2 - A perforated viscus in the postpancreaticoduodenectomy setting is a rare phenomenon and a devastating complication. In this situation, adherence to damage-control principles demands minimizing the operative intervention while addressing the intestinal perforation as a way to mitigate the injurious effects on a complex gastrointestinal reconstruction. Herein, we describe our intraoperative decision-making with an unconventional approach in the management of a perforated viscus in the postpancreaticoduodenectomy setting using a draining T-tube jejunostomy. Our patient recovered remarkably well from this and was discharged from the hospital in six days with a controlled draining T-tube jejunostomy, which was subsequently removed on postoperative day 35. Our case illustrates an important option when dealing with a perforated viscus in the complex gastrointestinal surgery patient that has minimal morbidity, adequate source control, and the potential for an excellent clinical outcome. As surgical care continues to be delivered in a specialty-driven manner, a draining T-tube jejunostomy presents the ideal technique to get out of trouble for the general surgeon practicing in the community who may not be as experienced with complex gastrointestinal surgery.

AB - A perforated viscus in the postpancreaticoduodenectomy setting is a rare phenomenon and a devastating complication. In this situation, adherence to damage-control principles demands minimizing the operative intervention while addressing the intestinal perforation as a way to mitigate the injurious effects on a complex gastrointestinal reconstruction. Herein, we describe our intraoperative decision-making with an unconventional approach in the management of a perforated viscus in the postpancreaticoduodenectomy setting using a draining T-tube jejunostomy. Our patient recovered remarkably well from this and was discharged from the hospital in six days with a controlled draining T-tube jejunostomy, which was subsequently removed on postoperative day 35. Our case illustrates an important option when dealing with a perforated viscus in the complex gastrointestinal surgery patient that has minimal morbidity, adequate source control, and the potential for an excellent clinical outcome. As surgical care continues to be delivered in a specialty-driven manner, a draining T-tube jejunostomy presents the ideal technique to get out of trouble for the general surgeon practicing in the community who may not be as experienced with complex gastrointestinal surgery.

UR - http://www.scopus.com/inward/record.url?scp=85020084251&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85020084251&partnerID=8YFLogxK

M3 - Article

VL - 82

SP - 522

EP - 525

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 6

ER -