Kimura K, Tsugawa C, Ogawa K, Matsumoto Y, Yamamoto T, Asada S
Arch Surg. 1977 Oct;112(10):1262-3. doi: 10.1001/archsurg.1977.01370100116026.
A retrocolic side-to-side duodenojejunostomy has been a generally accepted standard operative procedure for the correction of congenital duodenal atresia and stenosis. However, this operation has the complication of delayed anastomotic function that often requires a use of transanastomotic feeding tube or intravenous hyperalimentation. A diamond-shaped side-to-side duodenoduodenal anastomosis has been performed in nine consecutive cases of congenital duodenal obstruction, with satisfactory results. A transverse incision is made in the dilated proximal duodenum, and a longitudinal incision in the duodenum distal to the obstruction. The stoma is fashioned by approximating the end of each incision to the appropriate midportion of the other incision. Transanastomotic feeding tubes were not used and oral feedings were easily tolerated. This technique offers the theoretical advantage of providing a more physiological gastrointestinal pathway.
结肠后十二指肠空肠侧侧吻合术一直是矫正先天性十二指肠闭锁和狭窄普遍接受的标准手术方法。然而，该手术存在吻合口功能延迟的并发症，常需使用经吻合口喂养管或静脉高营养。已对连续9例先天性十二指肠梗阻患者实施了菱形十二指肠十二指肠侧侧吻合术，效果满意。在扩张的十二指肠近端做一横切口，在梗阻远端的十二指肠做一纵切口。通过将每个切口的末端与另一切口的适当中部对合形成吻合口。未使用经吻合口喂养管，患者能轻松耐受经口喂养。该技术具有提供更符合生理的胃肠道通路这一理论优势。
