“Two-Tube Ostomy”- A Novel Technique for Surgical Management of Post Ercp Duodenal Perforation

Large duodenal perforations are difcult to treat and are an uncommon consequence after medical treatments (ERCP). We provide a novel approach to treating this perforation called "Two-Tube-Ostomy," which combines feeding jejunostomy and tube gastroduodenostomy. The method addresses issues with minimum post-operative complications, early enteral feeding, biliary diversion and primary suture line protection, particularly in patients who are unstable and comorbid. It is simple to Perform with low morbidity