Jejunojejunostomy

Jejunojejunostomy is a surgical procedure that involves the anastomosis, or connection, of one part of the jejunum to another part. This procedure is often performed in patients who have had a part of their small intestine removed or bypassed.

Indications

Jejunojejunostomy is typically indicated in patients who have had a gastrectomy or a gastric bypass surgery. It is also used in the treatment of small bowel obstruction, Crohn's disease, and intestinal cancer.

Procedure

During a jejunojejunostomy, the surgeon makes an incision in the abdomen to access the small intestine. The affected part of the jejunum is then isolated and the two ends are connected using surgical staples or sutures. The incision is then closed and the patient is taken to recovery.

Risks and Complications

As with any surgical procedure, there are risks associated with jejunojejunostomy. These include infection, bleeding, and complications from anesthesia. Specific to this procedure, there is also the risk of leakage from the anastomosis site, stricture (narrowing) of the anastomosis site, and malabsorption due to the bypassed section of the small intestine.

Postoperative Care

After the procedure, patients are typically monitored in the hospital for several days. They may require parenteral nutrition initially, before gradually transitioning to a normal diet. Regular follow-up appointments are necessary to monitor the patient's recovery and to manage any potential complications.

See Also

• Gastrectomy
• Gastric bypass surgery
• Small bowel obstruction
• Crohn's disease
• Intestinal cancer

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