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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 duodenum, along with the head of the pancreas, is mobilized, detached from the inferior vena cava and aorta, with the superior mesenteric vessels limiting further mobilization. [ 2 ] Fascial Layers: Underlying the duodenum and head of the pancreas is an avascular plane known as the fusion fascia of Treitz.
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 .
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 length of the period is dependent upon the self-perception of the patients and their future state of mental and physical ability. For patients to resume their normal activities, a minimum of 3-5 weeks recovery period is required. Doctors should determine the length of the recovery period based on a range of body mass index. [42]
A bowel resection or enterectomy (enter-+ -ectomy) is a surgical procedure in which a part of an intestine (bowel) is removed, from either the small intestine or large intestine. Often the word enterectomy is reserved for the sense of small bowel resection, in distinction from colectomy , which covers the sense of large bowel resection.
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 ...
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 ...