Duodenal blow out which is done
Answer- A. Transcutaneous peritoneal drainageDuodenal blow out is massive leakage from duodenal stump following Bilroth II gastrectomy.Clinical featuresIt usually occurs on 2nd to 7th postoperative days.It usually presents as: -Sudden intense thoracoabdominal painSudden elevation in pulse and temperatureGeneral deterioration of conditionTreatment-Total parenteral nutritionFistula closure can be anticipated within 2-3 weeks.Adequate drainage
Transcutaneous peritoneal drainage
Secondary closure
Re-exploration
None