A COMPLICATION OF PASSAGE DISTURBANCE OF THE ANTRUM OR DUODENUM DUE TO COMPRESSION BY T-TUBE INSERTION AFTER BILIARY SURGERY IN THREE CASES

Between April 1975 and March 1986, 755 cases of benign biliary disease were operated on in our department. During the same period, T-tube insertion was performed in 356 cases of benign biliary disease, 10 of which developed postoperative complications. These consisted of premature T-tube removal in 3, biliary fistula in one, bile peritonitis after removal of T-tube in one, and passage disturbance of the antrum or duodenum in 3.The three patients who had passage disturbance underwent cholecystectomy and T-tube insertion, and could not take any food even at the 7th postoperative day. This complication was relieved by duodenum may thus be due to compression by T-tube insertion. Excessive duodenal maneuver may be a potential cause of dislocated and unusual adhesion of the stomach or duodenum, resulting in compression of the duodenum or stomach by a T-tube.