[Duodenal stump closure--still a live problem. A case report].

Area of Science:

• Gastroenterology
• Surgical Gastroenterology
• Gastrointestinal Surgery

Background:

• Peptic ulcer disease remains a significant cause of upper gastrointestinal bleeding.
• Gastric resection, including the Finsterer-Bancroft modification, is a treatment option for severe peptic ulcer disease.
• Duodenal stump leakage is a serious complication following gastric resection, necessitating prompt management.

Observation:

• A case study involving a patient treated with Finsterer-Bancroft modification of II-type gastric resection for duodenal peptic ulcer bleeding.
• The patient developed an early reoperation due to a duodenal stump leak.
• The complication was successfully managed by performing a duodenostomy.

Findings:

• Duodenal stump insufficiency can arise as a complication of gastric resection.
• Literature review discusses various causes and preventive measures for duodenal stump insufficiency.
• Duodenostomy emerged as an effective and optimal solution for managing duodenal stump suture insufficiency in this case.

Implications:

• This case underscores the importance of recognizing and managing duodenal stump leaks promptly.
• Duodenostomy presents a valuable therapeutic option for surgically managing duodenal stump insufficiency.
• Further research into prevention strategies for duodenal stump leaks post-gastric surgery is warranted.