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Gerald T. Ujiki, MD; Thomas W. Shields, MD

Arch Surg. 1981;116(5):614-617.

Abstract
• Four patients had complicated gastric and duodenal fistulas. In each patient, factors including marked inflammation and dense adhesions made dissection and mobilization difficult and hazardous. As a result, the standard recommended management of the fistulas was impossible. In each of these patients a Roux-en-Y operation was used successfully as an alternative procedure to seal the fistula. A successful outcome was experienced in each patient.

(Arch Surg 1981;116:614-617)

Author Affiliations
From the Department of Surgery, Northwestern University Medical School, Chicago.

Footnotes
Accepted for publication Dec 23, 1980.

Read before the 88th annual meeting of the Western Surgical Association, Salt Lake City, Nov 18, 1980.

Reprint requests to Department of Surgery, Veterans Administration Lakeside Medical Center, 333 E Huron St, Chicago, IL 60611 (Dr Shields).

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ABSTRACT