J.Jpn. Surg. Soc.. 81(9): 1110-1112, 1980

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Report on the annual meeting

INTESTINAL ANSTOMOSIS OF NEWBORN (DUODENO-DUODENOSTOMY)

Thirty-one cases of congenital duodenal atresia and stenosis were treated surgically in the past 10 years at Kanagawa Children's Medical Center. Except nine cases which underwent an excision of web, eight cases had duodeno-jejunostomy and forteen cases had duodeno-duodenostomy. The duodenojejunostomy was adopted in the early period of our experience, resulted two deaths and three blindloop syndromes. Since April 1973 we have chosen the duodeno-duodenostomy as a standard procedure for congenital duodenal atresia. The result of the forteen duodeno-duodenostomies is excellent.
The exact details of the duodeno-duodenostomy were demonstrated by the film. The most important point of the procedure is to avoid the injury to the opening of the bile duct which is mostly located within 5 milimeters from the egde of pancreasring or the separation of duodenum. One-laye suture at the posterior wall and two-layer suture at the anterior wall are standard method. A delicate and meticulous handling with fine 5-0 or 6-0 silk stitches is the key of successful anastomosis.

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