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Bishop-Koop jejunostomy in an adult following proximal small bowel anastomotic breakdown
  1. Richard Alexander Dickson-Lowe1,
  2. Zandri Pienaar1,
  3. Johannes Jacobus Petrus Buitendag2 and
  4. George Oosthuizen1
  1. 1 Trauma and General Surgery, Ngwelezana Hospital, Empangeni, South Africa
  2. 2 General Surgery, Tygerberg Hospital, Tygerberg, South Africa
  1. Correspondence to Mr Richard Alexander Dickson-Lowe, richarddickson-lowe{at}


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.

  • gastrointestinal surgery
  • general surgery
  • small intestine

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  • Patient consent for publication Obtained.

  • Contributors RAD-L, ZP and JJPB all made contribution to the writing of the case report, collecting data and results and with the final draft of the report. RAD-L wrote the literature review and collected the images for the report. GO was the consultant in charge of the case who made the clinical and operative decisions for the patient whilst overseeing and checking the report write up.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.