Pyloroplasty according to Heineke

Pyloroplasty according to Heineke-Mikulic (eng. Nissen-Gey) is a surgical operation in which to close the opening between the stomach and duodenum (duodenum), the outward protrusion of the transverse abdominal muscle is used, which continues the outer edge of the tendon part of the diaphragm in the form of an arch, which originally functioned as a ligament for connecting the base of the diaphragm to the liver. Opening access to the prepyloric opening becomes possible only through the placement of a gastroduodenostomy. Other operations, although called "pyloroplasties",

What is pyloroplasty and who needs it? Pyloroplasty or, in other words, plastic surgery of congenital pathology in the form of dolichomega esophagus is done when drug treatment is ineffective or complications develop. Among them, reflux disease, hiatal hernia, beak-shaped deformity, and cicatricial deformity develop. Due to a pathological increase in the length of the esophagus, aspiration pneumonia develops, which complicates the general condition of the patient, leads to his disability, and also contributes to the death of the patient from the consequences of pathology in the form of aspiration pneumonia, progressive ascites, reflux disease and gastric diastasis.

What is the main problem solved by pyloroplasty surgery? The operation reduces the space for food to pass through the stomach. One of the main obstacles that needs to be addressed is the shortening of the duodenum. It occurs due to a sharp decrease in its normal length. In addition, digestion significantly worsens. Digestion is disrupted as the movement of food through the esophagus is disrupted. As a result, not only the process of food promotion is disrupted, but also the destruction of useful elements from it. During the digestion process, the main toxic compounds remain unchanged. These are chemically active elements from milk, food residues of fish origin, as well as coarse fibers of plant tissue. If at this stage rotting and proliferation of microorganisms occurs, then in the small intestine (duodenum and jejunum) protein digestion continues. But protein metabolism must also take place in all other parts of the digestive tract. Thus, the lack of mass in the small intestine directly affects the body’s loss of large amounts of protein. Therefore, pyloroplastic

Heineke-Mikulicz pylorospastic (GSM) or pyloric stenosis is the surgical treatment of developmental anomalies and blockage of the gastric outlet. Purpose of the method: Restoration of the natural outlet of the stomach, after an unsuccessful operation to remove part of the stomach tissue during infancy or if surgical correction was performed earlier (in adults).

The surgical technique depends on the degree of stenosis. U