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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 .
[35] [64] During recovery, people must adapt to eating more slowly and avoid eating past fullness; overeating may lead to nausea and vomiting. [35] [64] Alcohol is avoided completely in the first 6 months to 1 year after surgery. [64] Some people may take a daily multivitamin to compensate for reduced absorption of essential nutrients. [35]
Gastric outlet obstruction (GOO) is a medical condition where there is an obstruction at the level of the pylorus, which is the outlet of the stomach. Individuals with gastric outlet obstruction will often have recurrent vomiting of food that has accumulated in the stomach, but which cannot pass into the small intestine due to the obstruction ...
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 ...
Pancreaticoduodenectomy is most often performed as a curative treatment for periampullary cancer, which includes cancer of the bile duct, duodenum, ampulla or head of the pancreas. [4] The shared blood supply of the pancreas, duodenum and common bile duct necessitates en bloc resection of these multiple structures.
Barium X-ray examinations are useful tools for the study of appearance and function of the parts of the gastrointestinal tract. They are used to diagnose and monitor esophageal reflux, dysphagia, hiatus hernia, strictures, diverticula, pyloric stenosis, gastritis, enteritis, volvulus, varices, ulcers, tumors, and gastrointestinal dysmotility, as well as to detect foreign bodies.
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 ...
Pediatric GISTs are treated differently from adult GISTs. Although the generally accepted definition of pediatric GIST is a tumor that is diagnosed at the age of 18 years or younger, [47] "pediatric-type" GISTs can be seen in adults, which affects risk assessment, the role of lymph node resection, and choice of therapy. [49]