Table of Contents
What is Retrocolic gastrojejunostomy?
Gastrojejunostomy can be performed with a jejunal loop brought either behind the transverse colon (retrocolic) or in front of it (antecolic). The advantage of retrocolic gastrojejunostomy is a short afferent loop, resulting in decreased incidence of afferent loop syndrome.
What is Isoperistaltic gastrojejunostomy?
In an antecolic anterior isoperistaltic gastrojejunostomy performed to the native stomach, the jejunal loop is brought anterior to the transverse colon, and the anastomosis is carried out to the anterior wall of the stomach in a side-to-side manner.
What is a Roux-en-Y gastrojejunostomy?
The Roux-en-Y gastrojejunostomy method prevents postoperative alkaline reflux gastritis or esophagitis after distal gastrectomy. Bile reflux has also been reported to have the potential to cause malignancies in the remnant stomach and esophagus [5].
Is gastrojejunostomy a bariatric surgery?
Abstract. Background: The laparoscopic Roux-en-Y gastric bypass (LRYGB) has been considered a reference procedure in the bariatric surgery. The linear-stapled gastrojejunostomy (GJ) has proved to be safe and effective, but its optimal size referred to postoperative weight loss remains poorly understood.
Can you bolus feed with a GJ tube?
A G-J tube can only be used for “continuous” feeds (slow feeding rate that is easier to tolerate for the stomach) because the small intestine cannot handle large amounts of fluid quickly. You cannot give bolus feeds into the J-port of a GJ tube.
Is Gastrojejunostomy a bariatric surgery?
What is the safest bariatric surgery?
The Vertical Sleeve Gastrectomy is the most widely used, and safest, in the bariatric world. As with any major surgery, gastric bypass and other weight-loss surgeries pose potential health risks, both in the short term and long term.
How do you start a jejunostomy diet?
Pump-assisted continuous drip infusions are the preferred method for jejunostomy feeding. Typically, continuous feeding is initiated at 20-50 mL/h and increased as tolerated by 10-25 mL/h every 4 to 24 hours until the target rate is achieved [3].
How do you feed with a GJ tube?
Crush the medicine into a powder and mix it with 10 to 20 mL.’s of tap water. Use a catheter-tip syringe to slowly push the medicine into the tube. Then slowly flush the tube with 15 to 30 mL.’s of tap water. Picture 5 Infants may like to use a pacifier during feedings to satisfy sucking needs.
Is the L-Port technique effective for retrocolic gastrojejunal reconstruction?
The L-port technique was mainly performed for retrocolic gastrojejunal reconstruction and some cases of duodenojejunal reconstruction. The perioperative and postoperative outcomes were compared in the two groups. Results: Eighty-three cases of RPD were retrieved for statistical analysis.
What is the difference between the Antecolic and L-Port groups?
Compared with the antecolic group, the L-port group was significantly associated with a shorter operative time (median time [IQR] 345 [307-384] min vs. 390 [370-455] min, P < 0.001), reconstruction time (54 [48-59] min vs. 84 [75-98] min, P < 0.001) and lower incidence of delayed gastric emptying.
Does the route of gastroenteric anastomosis after pancreatoduodenectomy influence postoperative complications?
Antecolic versus retrocolic route of the gastroenteric anastomosis after pancreatoduodenectomy: a randomized controlled trial The route of GE reconstruction after PD does not influence the postoperative incidence of DGE or other complications.
Is robotic pancreaticoduodenectomy safe and effective using a left retrocolic technique?
Background: With the advancement of robotic pancreaticoduodenectomy (RPD), several reconstruction methods have been advocated to make RPD more effective and safer. In this study, we investigated the safety and effectiveness of RPD using a left retrocolic (L-port) technique and compared it with those of RPD using an antecolic technique.