A novel technique for large lateral enterocutaneous fistula management after intestinal transplantation

2021 ◽  
Author(s):  
Agustina R Oliva ◽  
Paula Violo Gonzalez ◽  
Luciana Lerendegui ◽  
Rodrigo Sanchez Clariá ◽  
Juan Moldes ◽  
...  
Keyword(s):  
Enterocutaneous Fistula ◽  
Intestinal Transplantation ◽  
Novel Technique

scholarly journals 30 Novel Technique of Gastrojejunostomy Tube Insertion to Control Retracted Proximal Stoma

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Allen ◽  
R McBride ◽  
R Lindsay ◽  
W Wallace
Keyword(s):  
Peritoneal Cavity ◽  
Guide Wire ◽  
Enterocutaneous Fistula ◽  
Significant Risk ◽  
Gain Control ◽  
Small Bowel Resection ◽  
Abdominal Sepsis ◽  
Fistula Formation ◽  
Jejunostomy Tube ◽  
Novel Technique

Abstract Introduction Extensive small bowel resection for ischaemia can require formation of a proximal jejunostomy. Depending on length of remaining jejunum, a major potential complication is stoma retraction with resultant peritonitis, intra-abdominal sepsis and enterocutaneous fistula formation. We describe a case using a novel technique of inserting a retrograde gastrojejunostomy tube to gain control of an acutely retracted stoma in a 61-year-old patient who developed an enterocutaneous fistula shortly after major resection due to ischaemia. Method Under fluoroscopic guidance, the retracted proximal limb of the jejunostomy was cannulated antegradely by guide wire. A gastro-jejunostomy tube was inserted retrograde over the guide wire and the tip placed within the stomach. The proximal tube fenestrations were sited within the duodenum and the balloon was inflated to limit enteric content spilling into the peritoneal cavity. Conclusions This technique enabled drainage of gastroduodenal fluid, minimised spillage into the peritoneal cavity, reduced fistula output and controlled sepsis. This allowed time for nutritional optimisation, better glycaemic control, and endovascular revascularisation in preparation for restoration of intestinal continuity at an appropriate time. This method offered a useful alternative to surgery, in a patient for whom emergency re-exploration of the abdomen would carry significant risk of morbidity or mortality.

scholarly journals EP.FRI.616 Novel Technique of Gastrojejunostomy Tube Insertion to Control Retracted Proximal Stoma

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Neill Allen ◽  
Rachael McBride ◽  
William Wallace ◽  
Richard Lyndsay
Keyword(s):  
Peritoneal Cavity ◽  
Guide Wire ◽  
Enterocutaneous Fistula ◽  
Significant Risk ◽  
Gain Control ◽  
Small Bowel Resection ◽  
Abdominal Sepsis ◽  
Fistula Formation ◽  
Jejunostomy Tube ◽  
Novel Technique

Abstract Introduction Extensive small bowel resection for ischaemia can require formation of a proximal jejunostomy. Depending on length of remaining jejunum, a major potential complication is stoma retraction with resultant peritonitis, intra-abdominal sepsis and enterocutaneous fistula formation. We describe a case using a novel technique of inserting a retrograde gastrojejunostomy tube to gain control of an acutely retracted stoma in a 61 year old patient who developed an enterocutaneous fistula shortly after major resection due to ischaemia.  Method Under fluoroscopic guidance, the retracted proximal limb of the jejunostomy was cannulated antegradely by guide wire. A gastro-jejunostomy tube was inserted retrograde over the guide wire and the tip placed within the stomach. The proximal tube fenestrations were sited within the duodenum and the balloon was inflated to limit enteric content spilling into the peritoneal cavity.  Conclusion This technique enabled drainage of gastroduodenal fluid, minimised spillage into the peritoneal cavity, reduced fistula output and controlled sepsis. This allowed time for nutritional optimisation, better glycaemic control and endovascular revascularisation in preparation for restoration of intestinal continuity at an appropriate time. This method offered a useful alternative to surgery, in a patient for whom emergency re-exploration of the abdomen would carry significant risk of morbidity or mortality.

A Simple Novel Technique for Heterotopic Intestinal Transplantation in Mice

2013 ◽  
Vol 45 (2) ◽  
pp. 654-658
Author(s):  
X. Liu ◽  
P. Song ◽  
J. Tian ◽  
S. Zhou ◽  
S. Yan ◽  
...  
Keyword(s):  
Intestinal Transplantation ◽  
Novel Technique

Novel Technique Preserves Flow After Aneurysm Repair

2011 ◽  
Vol 9 (3) ◽  
pp. 20
Author(s):  
MITCHEL L. ZOLER
Keyword(s):  
Novel Technique ◽  
Aneurysm Repair

Intestinal transplantation

2002 ◽  
Vol 13 (3) ◽  
pp. 231-236
Author(s):  
Wendy J. Grant ◽  
Jean F. Botha ◽  
Alan N. Langnas
Keyword(s):  
Intestinal Transplantation

A Novel Technique for Tailoring Frontal Osteoplastic Flaps Using the ENT Magnetic Navigation System

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
L. Volpi ◽  
A. Pistochini ◽  
M. Turri-Zanoni ◽  
F. Meloni ◽  
M. Bignami ◽  
...  
Keyword(s):  
Navigation System ◽  
Magnetic Navigation ◽  
Novel Technique
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