Gastroenterostomy
Gastroenterostomy is a surgical procedure that creates a direct connection between the stomach and the jejunum, a part of the small intestine. This procedure is often performed to bypass the duodenum and the first part of the jejunum in cases where they have been damaged or are diseased.
Indications
Gastroenterostomy is typically indicated for patients with peptic ulcer disease, gastric cancer, or gastroparesis. It may also be performed as part of a weight loss surgery such as a gastric bypass.
Procedure
During a gastroenterostomy, the surgeon makes an incision in the stomach and the jejunum. The two organs are then stitched or stapled together to create a direct pathway for food to pass from the stomach to the jejunum. This bypasses the duodenum and the first part of the jejunum, which can be beneficial in cases where these parts of the digestive tract are damaged or diseased.
Risks and Complications
As with any surgical procedure, gastroenterostomy carries some risks. These may include infection, bleeding, and leakage from the site where the stomach and jejunum are joined. There is also a risk of dumping syndrome, a condition where food moves too quickly from the stomach into the small intestine.
Aftercare
After a gastroenterostomy, patients may need to follow a special diet to allow the digestive tract to heal. They may also need to take medication to reduce stomach acid and prevent ulcers.
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Contributors: Prab R. Tumpati, MD