PMC7672243_01
Operation of the constructing jejunostomy.. a. Strong adhesions due to a history of multiple surgeries were observed extensively, and dissecting the adhesion was difficult.. b. Intestinal perforation observed frequently.. c. The perforated small intestine was removed as much as possible.. d. A jejunostomy was constructed at the oral end of the perforation and approximately 110 cm from the ligament of Treitz.
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A jejunostomy was constructed at the oral end of the perforation and approximately 110 cm from the ligament of Treitz because of the difficulty in dissecting the adhesion (Fig. 1).