End-to-end anastomosis at the duodenojejunal flexure: is it safe?

Resection of the proximal jejunum in the duodenojejunal junction area is described in four patients, in diverse clinical settings. The conventional approach would have been to perform a gastrojejunostomy because of the possibility of ischaemia at and around the duodenojejunal flexure. A uniform surgical approach was followed for mobilization, resection and end-to-end duodenojejunal anastomosis and the outcome was successful in all cases.