postheadericon Gastric pull-up – Major Operative Procedures Occluded

The postoperative feeding during major surgical procedures occluded or malfunctioning gastric gastrointestinal obstruction due to gastric or pancreatic mass Fig. 6. A G-J placed endoscopic tube. For patients in whom infusions feed directly into the stomach-cons are listed, for example, gastroesophageal reflux, a J-tube can be placed through a gastrostomy tube to allow the infusion directly into the duodenum / jejunum. insert the tube into the distal duodenum or jejunum and distal migration of the proximal tubule frequent in the stomach. Several techniques for surgical jejunostomy were described and the current procedures are as follows: Witzel jejunostomy, Roux-en-Y jejunostomy, needle catheter jejunostomy, jejunostomy button, and percutaneous jejunostomy peritoneoscopic. The Witzel jejunostomy involves creating a 2to 4-cm serosal tunnel between the proximal jejunum and abdominal wall. The length of the tunnel seromuscular is then attached to the abdominal wall and the outer portion of the catheter attached to the skin with a suture. The disadvantage of this technique is the possibility of obstruction of the small intestine associated with balloon catheters over to the light of the small intestine and the narrow distal catheter migration. Jejunostomy in Roux-en-Y jejunum is cut about 20 cm distal to the ligament of Treitz and the proximal end is anastomosed to the distal jejunum, creating a short leg. The free end is left to mature the outside by a stable insertion ostomy or attached to the abdominal wall of a catheter according fungi, a Foley catheter or device on the skin. This procedure offers the best long-term jejunal feeding. Jejunostomies laparoscopic require the induction of general anesthesia. A loop of jejunum is brought to the posterior abdominal wall under laparoscopic monitoring and is fixed to the abdominal wall with a pillow or a clamp. A needle is inserted through the 136 Nazareno and Wu

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