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

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