Gastric surgery

Gastrectomy is the excision of the affected part of the stomach, followed by sewing the remaining parts. If this is not possible, then create a fistula (anastomosis) of the stomach to the small intestine. Size of the distal part of the stomach resection may be partial or complete (total). Theodor Billroth developed two typical ways gastrectomy. In the first method (Billroth I) after removal of the affected section of the stomach newsite part of his stump connecting seams end-to-end stump with duodenal ulcer. This method is considered the most physiological as well as food masses go through the duodenum and are exposed to bile and pancreatic juice. The second method (Billroth II) a stump duodenum tightly sutured and impose fistula (anastomosis between the rest of the stomach and the upper cut jejunum. There are several modifications of the overlay of this fistula.
Gastroduodenoscopy - the imposition of an anastomosis between the stomach and the duodenum. The front surface of the stomach and the descending part of the intestine closer to each other and between them impose fistula (Fig. 3). Currently, it is very seldom used, mainly for the difficulty the evacuation of the stomach.
Gastrojejunostomy - see Gastroenterostomy.
Gastropexy - podselenie stomach (if omission) of the anterior abdominal wall, the left lobe of the liver and round together, cutting and so on, is not currently used, as it leads to extensive adhesive process in the abdominal cavity and aching body. Other operations on the stomach - see Gastrectomy, Gastrostomy, Gastronomia, Gastroenterostomy.
When surgery on the stomach, as a rule, is made slit along the middle line from the xiphoid process up to the navel (approach the least traumatic and gives sufficient access to the stomach).
Tool set for operations on the stomach should be normal, which is used when laparotomy (see Surgical instruments), with the mandatory addition of large gastric pulp imposed on the stomach with its resection, and small, imposed on the duodenum.