TOTAL GASTRECTOMY, STAPLED
INDICATIONS Print Section Listen The indications and preoperative preparations are specific and are reviewed in Chapter 31, where the commonly used methods of reconstruction are shown with hand-sewn anastomoses. Many…
TOTAL GASTRECTOMY
INDICATIONS Print Section Listen Total gastrectomy may be indicated in treating extensive stomach malignancies. This radical procedure is not performed when carcinoma with distant metastasis to the liver or pouch…
HEMIGASTRECTOMY, BILLROTH II STAPLED
INDICATIONS Print Section Listen The Billroth II gastric resection is one of the most commonly performed procedures for malignancy of the stomach or for the control of gastric hypersecretion in…
GASTRECTOMY, HOFMEISTER METHOD
DETAILS OF PROCEDURE Print Section Listen The schematic drawing shows the position of the viscera after this operation is completed, along with the alternative antecolic placement of the jejunal loop….
GASTRECTOMY, POLYA METHOD
INDICATIONS Print Section Listen The Polya procedure, or a modification of it, is one of the safest and most widely used repairs after extensive gastric resections have been performed, whether…
GASTRECTOMY, SUBTOTAL
INDICATIONS Print Section Listen Subtotal gastrectomy is indicated in the presence of malignancy; in the presence of gastric ulcer that persists despite intensive medical therapy; and sometimes in the presence…
GASTRECTOMY, SUBTOTAL—OMENTECTOMY
REMOVAL OF OMENTUM Print Section Listen DETAILS OF PROCEDURE In cases of malignancy of the stomach, it is desirable to resect the greater omentum, because it allows for improved removal…
HEMIGASTRECTOMY, BILLROTH I STAPLED
INDICATIONS Print Section Listen The Billroth I gastric resection along with truncal vagotomy is frequently performed for intractable duodenal ulcer or benign gastric ulcer. The procedure may be performed when…
HEMIGASTRECTOMY, BILLROTH I METHOD
INDICATIONS Print Section Listen The Billroth I procedure for gastroduodenostomy is the most physiologic type of gastric resection, since it restores normal continuity. Although long preferred by some in the…
CLOSURE OF PERFORATION—SUBPHRENIC ABSCESS
A. CLOSURE OF PERFORATION Print Section Listen INDICATIONS Perforation of an ulcer of the stomach or duodenum is a surgical emergency; however, before performing the operation, sufficient time should be…
