ArticleWorld journal of gastrointestinal surgery2017
Triple tube drainage for "difficult" gastroduodenal perforations: A prospective study.
Article in World journal of gastrointestinal surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Stapfer I and II duodenal perforations after endoscopic procedures: how surgical delay impacts outcomes.Surgical endoscopy · 2024Article
- The Prevalence, Etiology and Treatment of Gastroduodenal Ulcers and Perforation: A Systematic Review.Journal of clinical medicine · 2024Review
- Associated Factors of Leaked Repair Following Omentopexy for Perforated Peptic Ulcer Disease; a Cross-sectional Study.Archives of academic emergency medicine · 2024Article
- Triple Tube Drainage for the Treatment of Complex Duodenal Injury: A Case Report and Literature Update.Cureus · 2023Article
- An Isolated Perforation of the Fourth Part of the Duodenum Following Blunt Abdominal Trauma: A Case Report.Cureus · 2023Article
- T-tube Duodenostomy for the Difficult Duodenum.Cureus · 2022Article
- The role of laparoscopic management in perforated gastric cancer.Annals of surgical treatment and research · 2021Article
- BISHOP-KOOP modification technique following proximal jejunal anastomosis: A case report.Annals of medicine and surgery (2012) · 2020Article
- Primary reinforcement with rectus abdominis muscle flap-a salvage technique for a tenuous post traumatic duodenal perforation- a case report.International journal of surgery case reports · 2020Article
- Proximal jejunal stoma as ultima ratio in case of traumatic distal duodenal perforation facilitating successful EndoVACInternational journal of surgery case reports · 2017Article
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Authors and funding
5 authors.
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Abstract
aimTo prospectively study the outcome of difficult gastroduodenal perforations (GDPs) treated by triple tube drainage (TTD) in order to standardize the procedure.
methodsPatients presenting to a single surgical unit of a tertiary hospital with difficult GDPs (large, unfavourable local and systemic factors) were treated with TTD (gastrostomy, duodenostomy and feeding jejunostomy). Postoperative parameters were observed like time to return of bowel sounds, time to start enteral feeds, time to start oral feeds, daily output of all drains, time to clamping/removal of all drains, time for skin to heal, complications, hospital stay, and, mortality. Descriptive statistics were used.
resultsBetween December 2013 and April 2015, 20 patients undergoing TTD for GDP were included, with mean age of 44.6 ± 19.8 years and male:female ratio of 17:3. Mean pre-operative APACHE II scores were 10.85 ± 3.55; most GDPs were prepyloric (9/20; 45%) or proximal duodenal (8/20; 40%) and mean size was 1.83 ± 0.59 cm (largest 2.5 cm). Median times of resumption of enteral feeding, removal of gastrostomy, removal of duodenostomy, removal of feeding jejunostomy and oral feeding were 4 d (4-5 IQR), 13 (12-16.5 IQR), 16 (16.25-22.25 IQR), 18 (16.5-24 IQR) and 12 d (10.75-18.5 IQR) respectively. Median hospital stay was 22 d (19-26 IQR) while mortality was 4/20 (20%).
conclusionTTD for difficult GDP is feasible, easy in the emergency, and patients recover in two-three weeks. It obviates the need for technically demanding and riskier procedures.
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