Treatment of postoperative gastric fistula complicated by local and systemic infection is difficult controversial, particularly when treating obese patients with multiple prior surgical procedures. A 41-year-old male patient was transferred to our hospital be admitted in the Intensive Care Unit respiratory failure sepsis, after being submitted bariatric surgery. He had been through four subsequ...

BACKGROUND Today, early diagnosis of upper gastrointestinal (GI) tract malignancies and their surgical resection is becoming more feasible. One of the important side effects in upper GI tract malignancies is malnutrition which has direct relationship with postoperative complications. Nonetheless, there is no easy regimen of nutrition for these patients especially for the first week after operat...

BACKGROUND Gastrostomy feeding is a well established alternative method to long term nasogastric tube feeding. Many such patients have gastro-oesophageal reflux (GOR) and require a fundoplication. A transgastric jejunal tube is an alternative when antireflux surgery fails, or is hazardous or inappropriate. AIMS To review experience of gastrojejunal (G-J) feeding over six years in two regional...

Aim. Loop ileostomy has high complication rates and causes much patient inconvenience. This study was performed to compare the outcome of tube versus loop ileostomy in management of ileal perforations. Patients and Methods. From July 2008 to July 2011, all patients with ileal perforation on laparotomy where a defunctioning proximal protective loop ileostomy was considered advisable were chosen ...

1. Jejunostomy does not prevent the development of the chemical changes of the blood characteristic of obstruction of the jejunum in the dog. 2. Jejunostomy following experimental obstruction of the jejunum has no beneficial effect upon the duration of life. There is some evidence that life may be shortened by early jejunostomy. 3. Treatment of jejunal obstruction with sodium chloride solution ...

Meeting the caloric needs of the baby in surgically repaired proximal intestinal atresias is a challenge. Total parenteral nutrition (TPN) is not readily available everywhere, especially in the resource crunched set-ups, besides sepsis being a prohibitive accompaniment of TPN. Technical difficulties of performing feeding jejunostomy in a small baby, along with added complications of a second su...

Feeding-related adverse events after percutaneous endoscopic gastrostomy (PEG) such as aspiration pneumonia can impede the use of PEG. Percutaneous endoscopic transgastric jejunostomy (PEG-J) using large-bore jejunal tubes with gastric decompression function may improve outcomes by circumventing gastric passage during enteral nutrition and improving drainage of excessive gastric secretions. Thi...

Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforat...