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Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

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Presentation on theme: "Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube."— Presentation transcript:

1 Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube substitution Neo- = new (or replacement) Orthotopic = normal or usual location (Ectopic = abnormal or unusual location)

2 Common GU Surgeries Urinary Diversion +/- Cystectomy Incontinent (stoma + bag) vs. continent (stoma + no bag) vs. orthotopic or non- orthotopic neobladder (no stoma + no bag) Continent diversions and neobladders - Mainz pouch 3, Indiana pouch 5, UCLA pouch 4, Koch pouch 6, and Studer ileal neobladder 9

3 Urinary Reservoirs & Neobladders

4 Common GI Surgeries Esophagus Stomach/duodenum Pancreaticobiliary Small bowel Colon

5 Common GI Surgeries Esophagus Antireflux – Fundoplication (Nissen, Toupet) Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents

6 Fundoplication Nissen = 360 degrees Best results Toupet = 270 degrees Less dysphagia

7 Collis Gastroplasty Lengthens short esophagus for fundoplication

8 Esophagectomy and Gastric Pull-up

9 Common GI Surgeries Stomach Roux-en-Y gastric bypass, adjustable gastric banding (LapBand), vertical banded gastroplasty Gastrojejunostomy Billroth I (partial gastrectomy with gastroduodenostomy) Billroth II (partial gastrectomy with gastrojejunostomy) Gastrectomy with esophagojejunostomy

10 Obesity Operations

11 Roux-en-Y Gastric Bypass (RYGB)

12 Adjustable Gastric Banding (LapBand)

13 Vertical Banded Gastroplasty

14 Billroth I

15 Billroth II

16 Pancreaticobiliary Surgery Choledochoduodenostomy Choledochojejunostomy Lateral pancreaticojejunostomy (Puestow) Whipple (classic and pyloric sparring)

17 Whipple Procedure Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy Pyloric sparring: No partial gastrectomy

18 Whipple Procedure Classic Pyloric sparring

19 Puestow

20 Small Bowel Surgeries Resection Ileostomy

21 Colon Surgeries Resection (any or all) Colostomy (loop; end) Hartmans procedure (colostomy with closed rectal pouch) J-pouch (proctocolectomy with orthotopic ileal neorectum with ieloanal anasatmosis)

22 J-Pouch


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