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Duodenal Stump Management and Manometrics

Irving Dardik, MD; Herbert Dardik, MD; Edward Shumofsky, MD; Marvin L. Gliedman, MD

AMA Arch Surg. 1973;107(1):89-90.

Abstract
Duodenal stump pressures were measured in 27 patients after Billroth II gastric resection by lateral T-tube duodenostomy. No manometric differences were found under comparable situations for various types of gastric reconstructions. Equivalent rises in duodenal stump pressures occurred with maneuvers that increased intraperitoneal pressure as well as postcibal pressure. It is suggested that lateral T-tube duodenostomy may serve as an alternative to prolonged nasogastric intubation, obviating several of the complications associated with the latter. Additionally, this procedure enables decompression of the difficult duodenal stump or that where frank leakage has occurred.

Author Affiliations
New York

From the Department of Surgery, Montefiore Hospital and Medical Center, Morrisania Division, Albert Einstein College of Medicine, New York.

Footnotes
Accepted for publication Jan 16, 1973.

Reprint requests to 850 Park Ave, New York 10021 (Dr. H. Dardik).

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