Kocher Mobilization of the Duodenum

Kocher mobilization of the duodenum (Kocher mobilization) is a surgical method used to treat diseases of the duodenum. It was developed by the German surgeon Kocher in 1882 and is still used to treat various diseases of this organ.

The goal of Kocher mobilization is to move the duodenum upward and backward to reduce its pressure on other organs and improve their function. This is achieved by cutting the ligaments that hold the duodenum in place and moving it up and back.

Kocher mobilization can be used to treat many conditions, including ulcers, polyps, tumors and other conditions. It can also be used to prevent complications after stomach or intestinal surgery.

However, like any other surgical method, Kocher mobilization has its risks and complications. Some of these may include bleeding, infection, damage to nearby organs, and other problems. Therefore, before performing this operation, it is necessary to carefully assess the patient’s condition and carry out all the necessary examinations.

Overall, Kocher mobilization is an effective treatment for duodenal diseases and can help improve patients' quality of life. However, like any other operation, it requires a professional approach and careful planning on the part of the surgeon.

Kocher mobilization

Kocher mobilization is a surgical technique for mobilizing the duodenum and jejunum for hiatal hernia and some forms of reflux esophagitis. This type of mobilization was proposed by the Swiss surgeon Georg Theophil Kocher in 1882. This method consists of sharply contracting the diaphragm and tightening the free or omentalized transverse colon overlying the hernial sac. The more the transverse colon is stretched, the better it can wrap around the neck of the esophagus. The fixation process allows you to make vagal tests to diagnose cardia failure.

Kocher surgical mobilization of the duodenum and jejunum is often combined with fundoplication surgery. A sharp contraction of the diaphragm is accompanied by its upward movement and a sharp pull on the fundus of the stomach, which leads to displacement of the duodenal loops into the abdominal cavity. Pulling the transverse colon above the hernia leads to a mechanical protective-obturator effect - gastrostomy. The transverse colon passes into the ligament of Treitz, which on the right surrounds the abdominal esophagus and the esophagogastric part of the stomach. Fixation of the ligament of Treitz and D