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The most common operation for SMA syndrome, duodenojejunostomy, was first proposed in 1907 by Bloodgood. [7] Performed as either an open surgery or laparoscopically , duodenojejunostomy involves the creation of an anastomosis between the duodenum and the jejunum , [ 23 ] bypassing the compression caused by the AA and the SMA. [ 1 ]
The name is derived from the surgeon who first described it (César Roux) [1] and the stick-figure representation. Diagrammatically, the Roux-en-Y anastomosis looks a little like the letter Y.
Jejunostomy is the surgical creation of an opening (stoma) through the skin at the front of the abdomen and the wall of the jejunum (part of the small intestine).It can be performed either endoscopically, or with open surgery.
The definitive treatment for duodenal atresia is surgery (duodenoduodenostomy or duodenojejunostomy), which may be performed openly or laparoscopically. [14] The surgery is required but not immediately urgent - a 24 to 48-hour delay is permissible to facilitate transport, further evaluation and fluid resuscitation. [ 13 ]
SADI-S (single anastomosis duodeno–ileal bypass with sleeve gastrectomy) is a bariatric surgical technique to address metabolic disorders and to lose weight. It is a variation on the duodenal switch surgery, incorporating a vertical sleeve gastrectomy with a gastric bypass technique. [1]
Jejunojejunostomy is a surgical technique used in an anastomosis between two portions of the jejunum. [1] It is a type of bypass occurring in the intestine. It may lead to marked reduction in the functional volume of the intestine. This technique is also performed using Laparoscopic surgery. [2]
These same workers also tend to be opposed to overhauling the system. As the study pointed out, they remain loyal to “intervention techniques that employ confrontation and coercion — techniques that contradict evidence-based practice.” Those with “a strong 12-step orientation” tended to hold research-supported approaches in low regard.
Choledochoduodenostomy (CDD) is a surgical procedure to create an anastomosis, a surgical connection, between the common bile duct (CBD) and an alternative portion of the duodenum. [1]