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Review
. 2018 Dec 22;11(1):e227519.
doi: 10.1136/bcr-2018-227519.

Bishop-Koop jejunostomy in an adult following proximal small bowel anastomotic breakdown

Richard Alexander Dickson-Lowe  1 , Zandri Pienaar  1 , Johannes Jacobus Petrus Buitendag  2 , George Oosthuizen  1
Affiliations
Review

Bishop-Koop jejunostomy in an adult following proximal small bowel anastomotic breakdown

Richard Alexander Dickson-Lowe et al. BMJ Case Rep. .

Abstract

This case involves a proximal penetrating small bowel injury and the use of a Bishop-Koop anastomosis in a 33-year-old man. This case highlights the use of alternative methods used to prevent a proximal small bowel stoma in a rural setting. The Bishop-Koop anastomosis was originally designed for neonates in cases of intestinal anomalies such as atresia, volvulus and apple-peel syndrome. A literature search for the use of the Bishop-Koop anastomosis in adults, although scanty, is included in this article. We believe this article will benefit readers and that this method may be considered in breakdown of proximal small bowel injuries, to prevent a high-output stoma.

Keywords: gastrointestinal surgery; general surgery; small intestine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Operative diagram showing the Bishop-Koop anastomosis used in this case (drawn by RAD-L).
Figure 2
Figure 2
Photographic image of the calf feeding teat used to plug the Bishop-Koop jejunostomy (with white plastic bar to prevent retraction).
See this image and copyright information in PMC

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