What is a Antrectomy?
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.
What is a gastrojejunostomy procedure?
A gastrojejunostomy is a surgical procedure that creates an anastomosis between the stomach and the jejunum. It can be performed in either a hand-sewn or a stapled fashion, either open or laparoscopically. Some centers have even created gastrojejunostomies endoscopically.[1]
What is the purpose of gastrojejunostomy?
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.
Is gastrojejunostomy a major surgery?
Endoscopic gastrojejunostomy is a minimally invasive procedure. A light sedation may be used along with painkillers. A flexible viewing tube (endoscope) is advanced through the nose, esophagus, stomach, and duodenum into the jejunum.
How is a Antrectomy performed?
A distal gastrectomy or antrectomy removes part of the stomach and stitches the remainder with an opening into the small intestine. Antrectomy (distal gastrectomy) is a procedure that involves surgical removal of the lower 30% of the stomach (antrum).
What is a vagotomy and Antrectomy?
All types of vagotomy can be performed at open surgery (laparotomy) or by using a minimally invasive approach (laparoscopic or robotic). 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.
Where is the gastrojejunostomy located?
The gastrojejunostomy is usually performed along the greater curvature of the distal body or the proximal antrum of the stomach (Fig. 12.6A). It may involve the anterior or the posterior wall at the surgeon’s discretion.
How long does a gastrojejunostomy take?
In this study, we reviewed our institution’s experience of laparoscopic gastrojejunostomy as a treatment modality for GOO. The operative time for laparoscopic GJ was on average 170 minutes, which was slightly longer than time for an open GJ procedure reported in literature (average, 115 minutes).
Is duodenum removed in gastrojejunostomy?
Gastrojejunostomy is a surgical procedure to create a direct connection (anastomosis) from the stomach to the middle part of the small intestine (jejunum), bypassing or removing the beginning part of the small intestine (duodenum).
What is a Roux en Y Gastrojejunostomy?
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 Billroth II Gastrojejunostomy?
Billroth II gastrojejunostomy is a procedure that has been performed for tumor or severe ulcer disease in the distal stomach.
What kind of surgery is an antrectomy?
An antrectomy is the resection, or surgery, of the main stomach referred to as antrum.
What are the specific indications of antrectomy and vagotomy?
Specific indications for the performance of antrectomy, vagotomy, gastrojejunostomy, and oversewing of a bleeding duodenal ulcer are as follows: Initial treatment of a patient with a bleeding duodenal ulcer causing hemodynamic changes unresponsive to intravenous fluid and blood product transfusion.
What happens to the stomach after an antrectomy?
A cutting stapler enables doctor to take away the lower third (the antrum) and fix top of the part of the stomach towards the small intestine. Following the stomach and intestine happen to be reattached, the region is rinsed with saline solution and also the incision closed. Most antrectomies are carried out as well as a vagotomy.
When to have an antrectomy for a gastric ulcer?
Antrectomy is indicated in the treatment of gastric ulcers that are (a) refractory to medical therapy; (b) complicated by perforation, bleeding, or obstruction; or (c) recurrent after adequate treatment of H pylori.
