Pedicled ileal flap for duodenal defect after right hemicolectomy.

ABSTRACT

BACKGROUND/AIMS: To describe a convenient approach for repairing a large duodenal defect after right hemicolectomy for right side colon neoplasm. METHODOLOGY: Six patients with a large duodenal defect after right hemicolectomy with partial duodenectomy for right side colon neoplasm were treated with a pedicled ileal flap to cover the large duodenal defect. RESULTS: Six cases recovered smoothly. There was no perioperative morbidity and mortality in this series, except for one patient who had a duodenal leakage but who got well with medical treatment. Postoperative radiography showed normal duodenal peristalsis. CONCLUSIONS: The pedicled ileal flap procedure for repairing a large duodenal defect after right hemicolectomy is safe and convenient, and is especially indicated for elderly patients or patients with poor general condition.