Gastroduodenostomy

A disease in which doctors are forced to connect the esophagus and duodenum. This may require a connection between the duodenum and the stomach, called a duodenogastrostomy. .

Gastrocolic ligation or duodenastomy is when surgeons ligate the stomach and intestines. this is done when you need to bring the intestines together, namely, bring two loops into one. The procedure is carried out in this order. First, the intestines are numbed. Then the surgeons' instruments are introduced, which divide the two loops of intestines into several pieces, and the surgeon begins to bring this “bouquet” together, which is why it can be laid out in a beautiful tail. Then the trocar tubes are taken from all places and a clamp is applied. Now you need to make “extra” ligaments under camera control and determine the locations of the ligaments. An incision is made where the tube is inserted, and it is bandaged there, while wetting it with a solution of potassium permanganate. The fact is that if you tighten the blood flow, adhesions and loss of intestinal patency appear. The formed ligaments undergo the so-called test for filling the loop with liquid - each must return to the main part, that is, freely pass bypassing peristalsis, due to this the loss of moisture and lumen in the loop is reduced.

If you do not compress the dressing sites, bleeding may occur; it is stopped by transfusing blood from one end to the other. Often the external sutures are made first and only then proceed to the abdominal cavity. The intra-abdominal space is washed with a disinfectant before the operation. Only as a last resort is surgery performed without the use of painkillers. When everything is ready, they begin to apply ligatures, and the procedure ends successfully. After the procedure, the patient remains in intensive care for 7 days to avoid bleeding after surgery. A duodenocolostomy is made at the location of the obstruction, using an incision about 25 cm long. The doctor makes another incision, which is used as an entrance for the stoma. At the site of the incision, a transition is made to the stomach or duodenum. This is where the connection to the outer hole is created. The surgeon sutures the abdomen with a regular needle and thread or by applying clips. Then sutures are placed on the skin. A person can undergo postoperative examinations; if everything goes well, he is discharged home after 5-8 days.

Gastroduodenodostomy is a surgical operation in which a through channel is made in the abdominal cavity between the stomach and duodenum. This can be done only once if a person wishes or needs it, that is, this is the last frontier - after this there will never be problems when eating. But it all depends on the patient himself, how long he can live without such an operation.

The gastroduodenal point of origin has existed since the end of the 19th century and includes more than 20 types of operation. The most commonly used procedure is the Laheranda operation, the usual classical form of gastoduodendostomy. However, modern medical technologies make it possible to place an external reservoir that is no longer attached to the patient's head or tail. In such a situation, gastoduoendostomy can be performed transanally. Gastoduodeondostomy is also used to install a permanent artificial pancreatic duct or gastric prosthesis for hypoplasia of the gastric glands. There is also one caveat to this operation. Even though it is performed by a surgeon with extensive experience, human factors occur. Such situations end tragically and the survival rate of patients decreases.