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CASE REPORT
Year : 2016  |  Volume : 5  |  Issue : 2  |  Page : 58-61

Closed circuit refeeding biliary drainage in a complex blunt hepatobiliary trauma: A novel technique


Department of Pediatric Surgery, Rainbow Children's Hospital, Hyderabad, Telangana, India

Correspondence Address:
Jyoti M Bothra
Department of Pediatric Surgery, Rainbow Children's Hospital, Hyderabad, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajt.ajt_5_17

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Blunt trauma to the abdomen is common in children causing injuries of varying severity. We present a complex case of hepatobiliary, gastrointestinal, and renal artery injuries needing a tailored management strategy and a novel technique of nutrition for the best possible outcome for the patient. Our patient in this case report had extensive hepatobiliary trauma with complete biliary duct and duodenal transection and renal artery thrombosis. He was managed by staged surgeries comprising biliary diversion and duodenal repair in the first stage and undiversion of the system in the second surgery. This is a novel technique as the nutrition was maintained by a closed circuit of bile redrainage into the jejunostomy tube achieving a physiological drainage pattern and circumventing the need of parental nutrition.


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