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Terminology General

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

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Terminology General

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  1. TerminologyGeneral • 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)

  2. Common GU SurgeriesUrinary 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

  3. Urinary Reservoirs & Neobladders

  4. Common GI Surgeries • Esophagus • Stomach/duodenum • Pancreaticobiliary • Small bowel • Colon

  5. Common GI SurgeriesEsophagus • Antireflux – Fundoplication (Nissen, Toupet) • Collis gastroplasty • Esophagectomy • Interposition (usually colonic) • Heller myotomy (Achalasia) • Stents

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

  7. Collis Gastroplasty Lengthens short esophagus for fundoplication

  8. Esophagectomy and Gastric Pull-up

  9. Common GI SurgeriesStomach • 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

  10. Obesity Operations

  11. Roux-en-Y Gastric Bypass (RYGB)

  12. Adjustable Gastric Banding(LapBand)

  13. Vertical Banded Gastroplasty

  14. Billroth I

  15. Billroth II

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

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

  18. Whipple Procedure Classic Pyloric sparring

  19. Puestow

  20. Small Bowel Surgeries • Resection • Ileostomy

  21. 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)

  22. J-Pouch

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