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Published byMakayla Ware Modified over 11 years ago
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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)
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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
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Urinary Reservoirs & Neobladders
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Common GI Surgeries Esophagus Stomach/duodenum Pancreaticobiliary
Small bowel Colon
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Common GI Surgeries Esophagus
Antireflux – Fundoplication (Nissen, Toupet) Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents
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Fundoplication Toupet = 270 degrees Nissen = 360 degrees
Less dysphagia Nissen = 360 degrees Best results
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Collis Gastroplasty Lengthens short esophagus for fundoplication
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Esophagectomy and Gastric Pull-up
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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
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Obesity Operations
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Roux-en-Y Gastric Bypass (RYGB)
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Adjustable Gastric Banding (LapBand)
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Vertical Banded Gastroplasty
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Billroth I
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Billroth II
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Pancreaticobiliary Surgery
Choledochoduodenostomy Choledochojejunostomy Lateral pancreaticojejunostomy (Puestow) Whipple (classic and pyloric sparring)
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Whipple Procedure Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy Pyloric sparring: No partial gastrectomy
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Whipple Procedure Classic Pyloric sparring
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Puestow
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Small Bowel Surgeries Resection Ileostomy
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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)
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J-Pouch
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