Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition.

Slides:

Advertisements

Similar presentations

Bariatric Surgical Procedures Adapted from Poirier et al. Bariatric surgery and cardiovascular risk factors: a scientific statement from the American Heart.

Advertisements

The GaBP Ring Device For Banding The Pouch in Gastric Bypass and Sleeve Gastrectomy Operations Bariatec Corporation P.O Box 4257 Palos Verdes Peninsula,

Bariatric Surgery By Sue Gabriel, ARNP, CCRN, MSN Nursing made Incredibly Easy! January/February ANCC/AACN contact hours Online:

Revision of failed restriction to RYGB

A review on bariatric surgery

Gastric Obstruction post “Sleeve gastrectomy”

Surgical Interventions in Gastroenterology

Gastrointestinal Surgery for Severe Obesity Prepared By: Dr. Fahad Al-Jindan Dr. Fahad Al-Jindan.

ILEOSTOMY varsha IIIrd BPT. WHAT IS ILEOSTOMY ? It is an opening made between the small intestine and the abdominal wall usually by using distal ileum.

© 2003 By Default! A Free sample background from Slide 1 Complications of Bariatric Surgery Presented by: Robyn Ache, D.O. Fellowship.

Introducing the Sleeve Gastrectomy Sleeve Gastrectomy as a Bariatric Procedure: Clinical Issues Committee of the American Society for Metabolic and Bariatric.

What is a Lap-Band? A restrictive gastric banding procedure was first introduced in 1983 made adjustable in 1986 made available laparoscopically in the.

Adult Medical-Surgical Nursing

Hiatal Hernia Repair, Vagotomy, Gastrectomy for GERD

Surgical Treatment of Ulcers. Anatomy Introduction  Number of admissions for uncomplicated disease is falling  Incidence of complications related to.

BY: HILLARY SULLIVAN MEDICAL NUTRITION THERAPY BASIC EXPLANATION OF BARIATRIC SURGERY TYPES.

Jennifer Borja Raiza Bondoc

Chapter 23 General Surgery.

Treating Complications Dysphagia, Leaks, Gastric Dysfunction Following Nissen Fundoplication Brant K. Oelschlager, MD University of Washington.

Acid peptic disease Seyed vahid hosseini Professor of surgery Department of surgery Colo-rectal ward.

RCS 6080 Medical and Psychosocial Aspects of Rehabilitation Counseling

Intestinal Disorders Gastroenteritis Irritable bowel syndrome (IBS) Inflammatory bowel disease (IBD) Crohn disease Ulcerative colitis Appendicitis Diverticulitis.

TEMPORARY FECAL DIVERSION STUDENTS’ SESSION, 10TH ANNUAL ESCP MEETING, DUBLIN ANDERS MARK CHRISTENSEN ON BEHALF OF GROUP 2.

Surgical Procedures. Gastric Surgery Vagotomy – surgical ligation of the vagus nerve to decrease the secretion of gastric acid Pyloroplasty – surgical.

Brant K. Oelschlager, MD University of Washington

Collis Nissen for the Short Esophagus Collis Nissen for the Short Esophagus Bill Richards, MD, FACS Professor and Chair Surgery Bill Richards, MD, FACS.

General Surgery June Franklin Margaron Folahan Ayoola Kevin Long Collier Pace Christopher Bednarek.

Thoracic Surgery 08/10/14 – 08/16/14 Christine Zoon.

General Surgery Feb 27-Marc 4 Sundeep Guliani Abel Gebre-Giorgis Osama Soliman Vistall Patel.

General Surgery Chapter 14. Abdominal Cavity Involves most of the organ systems in the human body Involves most of the organ systems in the human body.

Role/ Indications for surgery. Indications for surgery in PUD Bleeding Perforation Obstruction Intractability or nonhealing Schwartz’s Principles of Surgery,

General Surgery Mar 5 – Mar 11 Sundeep Guliani Abel Gebre-Giorgis Osama Soliman Vistall Patel.

Thoracic Surgery Interesting Case Hadley Wesson February 21, 2013.

Treatment of GERD in Obese Patients David W Rattner, MD.

 To demonstrate the role of computed tomography (CT) to evaluate post-operative anatomy and normal changes after Whipple procedure (WP).  To acquire.

General Surgery June 3-9 Franklin Margaron Folahan Ayoola Kevin Long Collier Pace Christopher Bednarek.

Bariatric surgery is the surgery to cut off excessive fat from the body.

Stoma Nursing Care Kathryn Mayne RN Division 1. STN

STOMACH & DUODENUM-3 Bariatric surgery.

Urinary Diversion in Urological Cancer

In the name of GOD.

From: Should This Patient Have Weight Loss Surgery

Lauren Lim, Shaili Mehta, Lisa Yu

Four options for weight loss surgery: (A) adjustable gastric banding; (B) Roux-en-Y gastric bypass; (C) gastric sleeve resection; (D) biliopancreatic diversion.

Different types of bariatric surgery

Bariatric Surgery: A Review of Procedures and Outcomes

Surgical Treatment of Obesity: Who Is an Appropriate Candidate?

Medical College of Wisconsin, Milwaukee Wisconsin, USA

Dr. Siddharth M. SakhiyaDr. Siddharth M. Sakhiya Dr. Natvar PatelDr. Natvar Patel

Figure 5 Types of urinary diversion

Efficacy of adjuvant weight loss medication after bariatric surgery

Preoperative decompression and diagnosis of pancreatic head adenocarcinoma in a patient with Roux-en-Y gastric bypass by means of EUS-guided gastric pouch.

Figure 2 The three most commonly performed bariatric surgical procedures Figure 2 | The three most commonly performed bariatric surgical procedures. a.

David Bradley, Faidon Magkos, Samuel Klein Gastroenterology

Bariatric Surgery: A Review of Procedures and Outcomes

Review of Childhood Obesity

Karlyn A. Martin, MD, Craig R. Lee, PharmD, PhD, Timothy M

CHUNG H. KIM, M.D., MICHAEL G. SARR, M.D. Mayo Clinic Proceedings

A new revisional surgery for severe protein-calorie malnutrition after Roux-en-Y gastric bypass: successful duodenojejunal reconstruction using jejunal.

The Role of Gut Adaptation in the Potent Effects of Multiple Bariatric Surgeries on Obesity and Diabetes Randy J. Seeley, Adam P. Chambers, Darleen A.

Evaluation and Treatment of Obesity

Graft reconstruction to treat disease of the abdominal aorta in patients with colostomies, ileostomies, and abdominal wall urinary stomata Ralph W. DeNatale,

Volume 15, Issue 2, Pages (August 2008)

Bariatric Surgery Richard S. Gordon, MD, FRCSC, FACS

Surgical Treatment of Obesity: Who Is an Appropriate Candidate?

Deepa Magge, M.D., Matthew P. Holtzman, M.D.

Primary Care Perspective on Bariatric Surgery

Results of the Collis-Nissen gastroplasty in patients with Barrett’s esophagus Long-Qi Chen, MD, Dimitrios Nastos, MD, Chun-Yan Hu, MD, Talat S Chughtai,

Presentation transcript:

Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = “tube” substitution “Neo-” = new (or replacement) Orthotopic = normal or usual location (Ectopic = abnormal or unusual location)

Common GU Surgeries Urinary Diversion +/- Cystectomy Incontinent (stoma + bag) vs. continent (stoma + no bag) vs. orthotopic or non-orthotopic neobladder (no stoma + no bag) Continent diversions and neobladders - Mainz pouch 3, Indiana pouch 5, UCLA pouch 4, Koch pouch 6, and Studer ileal neobladder 9

Urinary Reservoirs & Neobladders

Common GI Surgeries Esophagus Stomach/duodenum Pancreaticobiliary Small bowel Colon

Common GI Surgeries Esophagus Antireflux – Fundoplication (Nissen, Toupet) Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents

Fundoplication Toupet = 270 degrees Nissen = 360 degrees Less dysphagia Nissen = 360 degrees Best results

Collis Gastroplasty Lengthens short esophagus for fundoplication

Esophagectomy and Gastric Pull-up

Common GI Surgeries Stomach Roux-en-Y gastric bypass, adjustable gastric banding (LapBand), vertical banded gastroplasty Gastrojejunostomy Billroth I (partial gastrectomy with gastroduodenostomy) Billroth II (partial gastrectomy with gastrojejunostomy) Gastrectomy with esophagojejunostomy

Obesity Operations

Roux-en-Y Gastric Bypass (RYGB)

Adjustable Gastric Banding (LapBand)

Vertical Banded Gastroplasty

Billroth I

Billroth II

Pancreaticobiliary Surgery Choledochoduodenostomy Choledochojejunostomy Lateral pancreaticojejunostomy (Puestow) Whipple (classic and pyloric sparring)

Whipple Procedure Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy Pyloric sparring: No partial gastrectomy

Whipple Procedure Classic Pyloric sparring

Puestow

Small Bowel Surgeries Resection Ileostomy

Colon Surgeries Resection (any or all) Colostomy (loop; end) Hartman’s procedure (colostomy with closed rectal pouch) J-pouch (proctocolectomy with orthotopic ileal neorectum with ieloanal anasatmosis)

J-Pouch