Triple Tube, TPN and Enteral nutrition. Patient age, personal dedication to every patient. While a GS Resident in the early 80´, I lost a M.T, patient do to a lack of suspicious and not doing a full (C-B) mobilization. The patient had a duodenal perforation at the fourth portion.  

I think side to side jejuno-duodenostomy using a raw on Y jejunal loop is a good option.

We used it in few cases and it healed very well