2. Gastrojejunostomy
Objective
In cases of obstruction of stomach
outlet:
• To
establish alternative connection between stomach and small intestine.
• To
follow Vagotomy.
Position
Supine.
Anesthesia
General.
Procedure
• Midline
or Paramedian incision
• Opening
made in transverse mesocolon
• Stomach
antrum isolated tissue forceps at lesser and greater curvature
• Jejunum
also held in tissue forceps loop 10 to 20 cm form duodenojejunal junction
• Non-crushing
occlusion clamp applied
• Two
layers anastomosis 2/0 chromic
• Outer
continuous seromuscular
• Inner
continuous all layers
• Anastomosis
brought above the mesocolon tethered
• Wound
closed in layers.
Instruments
• General
set, 1
• Gastrointestinal
set, 1
Any questions be sent to drmmkapur@gmail.com
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