{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:17:22Z","timestamp":1791998242407,"version":"4.4.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2006,7,24]],"date-time":"2006-07-24T00:00:00Z","timestamp":1153699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2006,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Bowel repair in the septic abdomen can be problematic. This study investigated the use of a proximal loop jejunostomy to protect injured or fistulated bowel that had been returned to the abdomen after repair and\/or anastomosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Ten patients who underwent laparotomy for intra-abdominal sepsis and\/or fistulation, followed by distal enteric repair and\/or anastomosis and construction of a proximal defunctioning loop jejunostomy, were studied retrospectively. Seven patients had 21 intestinal suture lines returned to the peritoneal cavity in the presence of intra-abdominal sepsis (14 anastomoses, two enterotomy closures and five serotomy repairs). Two patients had a difficult relaparotomy for pelvic abscess (two distal anastomoses, one enterotomy closure and three serotomy repairs). The final patient had pelvic sepsis and radiation enteritis; the distal anastomosis was defunctioned by a loop jejunostomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The median distance from the duodenojejunal flexure to the loop stoma was 80 (range 30\u2013170) cm. All jejunostomies were closed via a local approach, a median of 11 (range 9\u201318) months after formation. There was no significant postoperative morbidity and no postoperative death. At a median follow-up of 7 (range 0\u00b75\u201356) months eight patients had no requirement for nutritional support.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Use of a loop jejunostomy to protect suture lines in the septic abdomen justifies consideration of this procedure in selected patients.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.5473","type":"journal-article","created":{"date-parts":[[2006,7,24]],"date-time":"2006-07-24T09:48:35Z","timestamp":1153734515000},"page":"1247-1250","source":"Crossref","is-referenced-by-count":7,"title":["Proximal loop jejunostomy is a useful adjunct in the management of multiple intestinal suture lines in the septic abdomen"],"prefix":"10.1093","volume":"93","author":[{"given":"V","family":"Shetty","sequence":"first","affiliation":[{"name":"Intestinal Failure Unit, Hope Hospital, Manchester, 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