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Mesenteric Trap

Mesenteric Trap This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.–I have just read the excellent article in the September issue of the Archives of Surgery entitled "The Excluded Small Bowel Segment" by John Harmann, MD, and John W. Braasch, MD. We have been extremely interested in jejunoileal bypass and have had a modest experience with the operation. I was indeed struck by the invited editorial comments by E. R. Woodward, MD, when he stated that he did not think it was necessary to close mesenteric defects if they were large. When we were performing jejunoileal bypass several years ago and anastomosing the distal excluded end of the small intestine to the sigmoid colon, a large potential mesenteric trap was created that we always meticulously closed with interrupted silk sutures. On three occasions, we have had this large mesenteric trap reopened, resulting in acute small bowel obstruction necessitating laparotomy. In later years, we have anastomosed the distal http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Mesenteric Trap

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.–I have just read the excellent article in the September issue of the Archives of Surgery entitled "The Excluded Small Bowel Segment" by John Harmann, MD, and John W. Braasch, MD. We have been extremely interested in jejunoileal bypass and have had a modest experience with the operation. I was indeed struck by the invited...
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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1977.01370010100023
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.–I have just read the excellent article in the September issue of the Archives of Surgery entitled "The Excluded Small Bowel Segment" by John Harmann, MD, and John W. Braasch, MD. We have been extremely interested in jejunoileal bypass and have had a modest experience with the operation. I was indeed struck by the invited editorial comments by E. R. Woodward, MD, when he stated that he did not think it was necessary to close mesenteric defects if they were large. When we were performing jejunoileal bypass several years ago and anastomosing the distal excluded end of the small intestine to the sigmoid colon, a large potential mesenteric trap was created that we always meticulously closed with interrupted silk sutures. On three occasions, we have had this large mesenteric trap reopened, resulting in acute small bowel obstruction necessitating laparotomy. In later years, we have anastomosed the distal

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1977

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