Nauta R J
Department of General Surgery, Georgetown University Hospital, Washington, District of Columbia 20007.
Surg Gynecol Obstet. 1990 Feb;170(2):172-4.
Side to side duodenojejunostomy is a reasonable alternative to other methods of reconstitution of the continuity of the upper portion of the GI tract in selected circumstances. It is not necessary to use duodenojejunostomy in resections distal to the ligament of Treitz because an end to end anastomosis may be readily accomplished. The described technique, however, provides a convenient means of reconstruction for the upper portion of the GI. tract when resection of the small intestine is necessary at the ligament of Treitz or in close proximity to the origin of the mesenteric vasculature. Thus, adequate resection at the ligament of Treitz may be performed when necessary, and the need to subsequently visualize or mobilize the transected duodenal stump to construct an anastomosis in that region is obviated.
在特定情况下，侧侧十二指肠空肠吻合术是重建胃肠道上段连续性的其他方法的合理替代方案。在Treitz韧带远端的切除术中无需使用十二指肠空肠吻合术，因为端端吻合术很容易完成。然而，当在Treitz韧带处或紧邻肠系膜血管起源处需要切除小肠时，所描述的技术为胃肠道上段提供了一种方便的重建方法。因此，必要时可在Treitz韧带处进行充分切除，并且无需随后观察或游离横断的十二指肠残端以在该区域构建吻合术。
