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The duodenal switch (DS) procedure, also known as a gastric reduction duodenal switch (GRDS), is a weight loss surgery procedure that is composed of a restrictive and a malabsorptive aspect. The restrictive portion of the surgery involves removing approximately 70% of the stomach (along the greater curvature) and most of the duodenum .
For severe duodenal ulcers, it may be necessary to remove the lower portion of the stomach and the upper portion of the small intestine. If there is a sufficient portion of the upper duodenum remaining, a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the common bile duct.
The actual resection starts with the cutting of the duodenum between holding or guy sutures. [9] The duodenum is temporarily closed with a sponge; the resection borders of the stomach are then determined. [9] A sewing instrument facilitates the final step of stomach removal. [9] The incision follows at an angle of 45 degrees to the lesser ...
Resection is sometimes a part of a treatment plan, [2] but duodenal cancer is difficult to remove surgically because of the area that it resides in—there are many blood vessels supplying the lower body. Chemotherapy is sometimes used to try to shrink the cancerous mass. Other times intestinal bypass surgery is tried to reroute the stomach to ...
The shared blood supply of the pancreas, duodenum and common bile duct necessitates en bloc resection of these multiple structures. Other indications for pancreaticoduodenectomy include chronic pancreatitis , benign tumors of the pancreas , cancer metastatic to the pancreas, multiple endocrine neoplasia type 1 [ 5 ] and gastrointestinal stromal ...
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. [1] [2] The operation is most closely associated with Theodor Billroth, but was first described by Polish surgeon Ludwik Rydygier. [2] The surgical procedure is called a ...
An abdominal mass is any localized enlargement or swelling in the human abdomen.Depending on its location, the abdominal mass may be caused by an enlarged liver (hepatomegaly), enlarged spleen (splenomegaly), protruding kidney, a pancreatic mass, a retroperitoneal mass (a mass in the posterior of the peritoneum), an abdominal aortic aneurysm, or various tumours, such as those caused by ...
enterotomy and bowel repair or bowel resection [13] right or left hemicolectomy [13] pyloric exclusion and gastric diversion, in which gastric secretions are diverted away from the duodenum by closing the pylorus and creating a new connection between the stomach and the small intestine [14] nephrectomy, or removal of all or part of a kidney [15]