A patient was transferred to our hospital with a history of exploratory laparotomy on 27 July 16 for an acute abdomen. Operation notes say resection of almost complete jejunum done from about 8 cms from duodenojejunal flexure about 3 to 4 feet for jejunal gangrene and with both the proximal and distal ends exteriorised as stomas. How do we approach management?
is e arly anastomosis appropriate or do we stabilise him and do it after 03 to 04 weeks? How to manage the proximal stoma secretion and skin care for it is spewing bile and pancreatic secretions?
