A gastroduodenostomy is a surgical reconstruction procedure by which a new connection between the stomach and the first portion of the small intestine (duodenum) is created.
In this regard, what does Gastroenterostomy mean?
A gastroenterostomy is the surgical creation of a connection between the stomach and the jejunum. The operation can sometimes be performed at the same time as a partial gastrectomy (the removal of part of the stomach).
One may also ask, what does Pyloroplasty mean? Pyloroplasty is a surgical procedure in which the pylorus valve at the lower portion of the stomach is cut and resutured, relaxing and widening its muscular opening (pyloric sphincter) into the duodenum (first part of the small intestine).
In this manner, what is a billroth?
Billroth I, more formally Billroth’s operation I, is an operation in which the pylorus is removed and the distal stomach is anastomosed directly to the duodenum. The operation is most closely associated with Theodor Billroth, but was first described by Polish surgeon Ludwik Rydygier.
What is a Gastrojejunostomy procedure?
Background. Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is usually done either for the purpose of draining the contents of the stomach or to provide a bypass for the gastric contents.
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What is the difference between Billroth I and Billroth II?
A Billroth I is the creation of an anastomosis between the duodenum and the gastric remnant (gastroduodenostomy). A Billroth II operation is constructed by sewing a loop of jejunum to the gastric remnant (gastrojejunostomy).
What is a vagotomy and Antrectomy?
For the management of PUD, vagotomy is sometimes combined with antrectomy (removal of the distal half of the stomach) to reduce the rate of recurrence. Reconstruction is performed with gastroduodenostomy (Billroth I) or gastrojejunostomy (Billroth II).
What does Roux en Y mean?
Roux-en-Y. In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal (or further down the gastrointestinal tract) from the cut end.
What is a Hepaticojejunostomy?
A hepaticojejunostomy is the surgical creation of a communication between the hepatic duct and the jejunum; a choledochojejunostomy is the surgical creation of a communication between the common bile duct (CBD) and the jejunum.
What is the Roux limb?
This limb contains digestive juices from the stomach, bile and pancreas. The Roux limb, the middle portion of the small intestine also known as the jejunum, is connected to the pouch. Food flows directly from the pouch into the Roux limb, bypassing most of the stomach.
What is Billroth II Gastrojejunostomy?
Billroth II, more formally Billroth’s operation II, is an operation in which the greater curvature of the stomach is connected to the first part of the jejunum in end-to-side anastomosis. This often follows resection of the lower part of the stomach (antrum). The surgical procedure is called gastrojejunostomy.
What is involved in a partial gastrectomy?
A partial gastrectomy is the removal of a part of the stomach. The lower half is usually removed. A full gastrectomy is the removal of the entire stomach. A sleeve gastrectomy is the removal of the left side of the stomach. This is usually performed as part of a surgery for weight loss.
What is distal gastrectomy?
Antrectomy (distal gastrectomy) is a procedure in which the distal third of the stomach (the gastric or pyloric antrum) is excised. Gastrectomies are further defined by the type of reconstruction used to reestablish gastrointestinal (GI) continuity.
When was the first gastrectomy performed?
The first successful gastrectomy was performed by Theodor Billroth in 1881 for cancer of the stomach. Historically, gastrectomies were used to treat peptic ulcers.
How is a Pyloroplasty done?
Pyloroplasty is surgery to widen the pylorus. This is an opening near the end of the stomach that allows food to flow into the duodenum, the first part of the small intestine. Pyloroplasty involves cutting through and removing some of the pyloric sphincter to widen and relax the pylorus.
What is Pyloromyotomy surgery?
A pyloromyotomy is a surgical procedure in which an incision is made in the longitudinal and circular muscles of the pylorus. It is used to treat hypertrophic pyloric stenosis. Hypertrophied muscle is cut along the whole length until the mucosa bulges out.
Where is the pylorus located in a human?
The pylorus is the furthest part of the stomach that connects to the duodenum. It is divided into two parts, the antrum, which connects to the body of the stomach, and the pyloric canal, which connects to the duodenum.
What is a vagotomy and Pyloroplasty?
Truncal vagotomy. This type is commonly used with pyloroplasty or abdominal drainage to treat chronic peptic ulcers. It involves cutting one or more of the branches that split off the main trunk of the vagus nerve and travel down your esophagus to your stomach and other digestive organs.
Why is vagotomy performed?
A vagotomy is performed when acid production in the stomach can not be reduced by other means. The purpose of the procedure is to disable the acid-producing capacity of the stomach. It is used when ulcers in the stomach and duodenum do not respond to medication and changes in diet.
What is the function of the pylorus?
The main functions of the pylorus are to prevent intestinal contents from reentering the stomach when the small intestine contracts and to limit the passage of large food particles or undigested material into the intestine.
What is the pop procedure?
POP is the most minimally invasive surgical option, using an endoscope (thin flexible tube). It is an alternative to more conventional pyloroplasty, in which the pylorus — a disc-shaped muscle that allows emptying of the stomach — is cut.
What is the pylorus of the stomach?
The pylorus is the part of the stomach that connects to the small intestine. This region includes the pyloric sphincter, which is a thick ring of muscle that acts as a valve to control the emptying of stomach contents (chyme) into the duodenum (first part of the small intestine).
What are the side effects of a vagotomy?
We describe nine patients who had severe, persistent abdominal pain, vomiting, dumping, or diarrhoea several years after truncal vagotomy and gastroenterostomy had been performed for duodenal ulceration.