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Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y =...

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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” substitution “Neo-” = new (or replacement) Orthotopic = normal or usual location (Ectopic = abnormal or unusual location)
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Page 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.

TerminologyGeneral

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)

Page 2: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Common GU SurgeriesUrinary 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

Page 3: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Urinary Reservoirs & Neobladders

Page 4: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Common GI Surgeries

Esophagus Stomach/duodenum Pancreaticobiliary Small bowel Colon

Page 5: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Common GI SurgeriesEsophagus

Antireflux – Fundoplication (Nissen, Toupet)

Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents

Page 6: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Fundoplication

Nissen = 360 degreesBest results

Toupet = 270 degreesLess dysphagia

Page 7: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Collis Gastroplasty

Lengthens short esophagus for fundoplication

Page 8: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Esophagectomy and Gastric Pull-up

Page 9: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Common GI SurgeriesStomach

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

Page 10: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Obesity Operations

Page 11: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Roux-en-Y Gastric Bypass (RYGB)

Page 12: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Adjustable Gastric Banding(LapBand)

Page 13: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Vertical Banded Gastroplasty

Page 14: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Billroth I

Page 15: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Billroth II

Page 16: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Pancreaticobiliary Surgery

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

Page 17: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Whipple Procedure

Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy

Pyloric sparring: No partial gastrectomy

Page 18: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Whipple Procedure

Classic

Pyloric sparring

Page 19: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Puestow

Page 20: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Small Bowel Surgeries

Resection Ileostomy

Page 21: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

Colon Surgeries

Resection (any or all) Colostomy (loop; end) Hartman’s procedure

(colostomy with closed rectal pouch) J-pouch (proctocolectomy with

orthotopic ileal neorectum with ieloanal anasatmosis)

Page 22: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.

J-Pouch


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