Gastroenterostomy

As gastroenterostomy (GE), the operative connection of the stomach and small intestine is called in medicine.

Indication

A gastroenterostomy is performed for the treatment of disorders of the gastrointestinal passage and duodenal area. Causes may be tumors of the stomach, the pancreatic head or the bile ducts and inflammatory changes.

Frequently gastroenterostomy is performed when the actual cause of disability passage is not to be removed or can. The gastroenterostomy is often performed as a palliative procedure.

Op - principle

During the operation the actual tightness is left. There is created an anastomosis between the stomach and jejunum. To this end, the top loop of jejunum is sutured or stapled to the side of the stomach.

The food and the gastric juice is diverted past the confines and passes from the stomach directly to the small intestine, without passing through the pylorus and the duodenum.

Pain control, storage and access

The surgery is usually performed under general anesthesia with slightly over-extended supine position. An additional before surgery ( preoperative ) defined PDA catheter ( neuraxial catheters) can save painkillers during surgery and after surgery facilitates the treatment of pain.

The surgery is performed through an abdominal incision ( laparotomy ), but occasionally minimally invasive ( laparoscopic ).

Risks and Complications

Non-specific risks of surgery are intra -and postoperative bleeding, wound healing, development of incisional hernias ( hernias ), thrombosis, pulmonary embolism, and postoperative pneumonia.

Specific risk is the risk of anastomotic leakage. Here is threatening peritonitis when the anastomotic leak is not detected in time.