Gastric dumping syndrome surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
{| class="wikitable" | |||
! colspan="3" |'''Surgical Procedures''' | |||
|- | |||
|'''Procedure''' | |||
|'''Mechanism''' | |||
|'''Complications''' | |||
|- | |||
|Stoma Revision | |||
|Narrowing of the gastrojejunal stoma | |||
|Stomal strictures, Gastric outlet obstruction | |||
|- | |||
|Jejunal Interposition | |||
|Creation of a long iso- or antiperistaltic limb between stomach and jejunum | |||
|Ulceration and stenosis of the interposed segment | |||
|- | |||
|Pyloric Reconstruction | |||
|Modification of pyloroplasty by cutting the pyloroplasty incision and its longitudinal closure | |||
|Low-risk | |||
|- | |||
|Billroth I to Billroth II conversion | |||
|Restoration of physiologic delivery of the meal to the duodenum | |||
|Low-risk | |||
|- | |||
|Roux limb conversion to Roux-en-Y gastrojejunostomy | |||
|Slowing rate of gastric emptying and chyme transit via the Roux limb | |||
|Roux stasis | |||
|- | |||
|GI retrograde electrical pacing | |||
|Experimental procedure (No human studies have been performed) | |||
| | |||
|} | |||
==References== | ==References== |
Revision as of 02:47, 7 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Surgery
Surgical Procedures | ||
---|---|---|
Procedure | Mechanism | Complications |
Stoma Revision | Narrowing of the gastrojejunal stoma | Stomal strictures, Gastric outlet obstruction |
Jejunal Interposition | Creation of a long iso- or antiperistaltic limb between stomach and jejunum | Ulceration and stenosis of the interposed segment |
Pyloric Reconstruction | Modification of pyloroplasty by cutting the pyloroplasty incision and its longitudinal closure | Low-risk |
Billroth I to Billroth II conversion | Restoration of physiologic delivery of the meal to the duodenum | Low-risk |
Roux limb conversion to Roux-en-Y gastrojejunostomy | Slowing rate of gastric emptying and chyme transit via the Roux limb | Roux stasis |
GI retrograde electrical pacing | Experimental procedure (No human studies have been performed) |