Wang YH, Zhong XW, Tang C, Chen SH, Li J. T-tube duodenostomy with jejunal feeding tube placement for duodenal stump fistula: A case report and review of literature. World J Gastroenterol 2026; 32(21): 117664 [DOI: 10.3748/wjg.v32.i21.117664]
Corresponding Author of This Article
Jian Li, Associate Chief Physician, Department of Gastrointestinal Surgery, Southern Central Hospital of Yunnan Province, No. 1 Xiyuan Road, Gejiu 651000, Yunnan Province, China. 604474160@qq.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
case-report
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Wang YH, Zhong XW, Tang C, Chen SH, Li J. T-tube duodenostomy with jejunal feeding tube placement for duodenal stump fistula: A case report and review of literature. World J Gastroenterol 2026; 32(21): 117664 [DOI: 10.3748/wjg.v32.i21.117664]
World J Gastroenterol. Jun 7, 2026; 32(21): 117664 Published online Jun 7, 2026. doi: 10.3748/wjg.v32.i21.117664
T-tube duodenostomy with jejunal feeding tube placement for duodenal stump fistula: A case report and review of literature
Ying-Hua Wang, Xing-Wei Zhong, Can Tang, Shun-Hong Chen, Jian Li
Ying-Hua Wang, Xing-Wei Zhong, Can Tang, Shun-Hong Chen, Jian Li, Department of Gastrointestinal Surgery, Southern Central Hospital of Yunnan Province, Gejiu 651000, Yunnan Province, China
Author contributions: Wang YH contributed to manuscript writing and editing; Zhong XW, Tang C, Chen SH contributed to literature search and screening; Li J contributed to supervision and final confirmation. All authors have read and approved the final manuscript.
Informed consent statement: Informed verbal consent was obtained from the patient's family for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jian Li, Associate Chief Physician, Department of Gastrointestinal Surgery, Southern Central Hospital of Yunnan Province, No. 1 Xiyuan Road, Gejiu 651000, Yunnan Province, China. 604474160@qq.com
Received: December 15, 2025 Revised: January 21, 2026 Accepted: March 2, 2026 Published online: June 7, 2026 Processing time: 164 Days and 21.9 Hours
Abstract
BACKGROUND
Duodenal stump fistula (DSF) is a rare but serious complication following gastrectomy, and its optimal treatment remains controversial. T-tube duodenostomy combined with jejunal feeding tube placement for the management of DSF has been rarely reported.
CASE SUMMARY
We report the case of a patient who underwent subtotal gastrectomy for pyloric stenosis. The duodenal stump drainage tube produced bile-like fluid 3 days after the operation, accompanied by sepsis. Emergency surgery confirmed the presence of a DSF. During the operation, he underwent T-tube duodenostomy combined with placement of a jejunal nutrition tube. He recovered and was discharged after 17 days of postoperative treatment.
CONCLUSION
This report provides clinicians with a surgical treatment option and ideas for prevention.
Core Tip: Duodenal stump fistula (DSF) is a rare complication after gastrectomy and is associated with a high mortality rate. Various treatment methods have been described. We report a case of DSF treated with T-tube duodenostomy combined with jejunal feeding tube placement, in which the patient was cured and discharged within a short period. We summarize the characteristics of this disease and provide clinicians with a surgical treatment option and a prevention approach.
