What is Roux-en-Y gastrojejunostomy?
Roux-en-Y. In general surgery, a Roux-en-Y anastomosis, or Roux-en-Y, is an end-to-side surgical anastomosis of bowel used to reconstruct the gastrointestinal tract. Typically, it is between stomach and small bowel that is distal (or further down the gastrointestinal tract) from the cut end.
What is the purpose of gastrojejunostomy?
Gastrojejunostomy is a surgical procedure in which an anastomosis is created between the stomach and the proximal loop of the jejunum. This is usually done either for the purpose of draining the contents of the stomach or to provide a bypass for the gastric contents.
What is Antecolic gastrojejunostomy?
In an antecolic anterior isoperistaltic gastrojejunostomy performed to the native stomach, the jejunal loop is brought anterior to the transverse colon, and the anastomosis is carried out to the anterior wall of the stomach in a side-to-side manner.
What do you mean by Roux?
Definition of roux : a cooked mixture of flour and fat used as a thickening agent in a soup or a sauce.
Why is it called a Roux-en-Y?
The Roux-en-Y is named after the Swiss surgeon César Roux (1857-1934), who was Chief of Surgery at the county hospital of Lausanne and following the opening of the new University of Lausanne, in 1890, was its inaugural Professor of External Pathology and Gynecology 4.
What is the Roux limb?
The Roux limb, the middle portion of the small intestine also known as the jejunum, is connected to the pouch. Food flows directly from the pouch into the Roux limb, bypassing most of the stomach.
Who performs a gastrojejunostomy?
Recovery from a gastrojejunostomy procedure takes about six weeks. A gastrojejunostomy is a surgical procedure performed under general anesthesia by a gastrointestinal surgeon. The surgeon produces a direct connection (anastomosis) between the stomach and the jejunum, part of the small intestine.
How do you do a gastrojejunostomy?
Technique
- Step 1: Obtain Access to the Abdominal Cavity.
- Step 2: Determine the Site of the Gastrostomy.
- Step 3: Approximating the Jejunal Loop.
- Step 4: Creation of the Jejunostomy and Gastrostomy.
- Step 5: Creation of the Anastomosis.
- Step 6: Hemostasis and Leak Test.
What is Isoperistaltic gastrojejunostomy?
Procedure: Isoperistaltic. Same direction of peristalsis between stomach and jejunum, efferent loop of jejunum is located on the distal part of remnant stomach.
What is a Braun Enteroenterostomy?
Braun enterostomy is a type of anastomosis done following a major surgery like pancreaticoduodenectomy (removal of pancreas and a part of the intestine). Enteroenterostomy is an anastomosis (connection) between one part of the small bowel to another (jejunum or ileum).
What is the origin of roux?
Roux has been thickening savory dishes for centuries. Its first incarnation was in France and made with butter and flour. This mixture is only heated for a few minutes—just enough time to cook the flour—and is the base of many sauces (including white or béchamel sauce) as well as soups and stews.
What is the Roux-en-Y procedure?
Some consider the Roux-en-Y a variation of a Billroth II procedure. A Billroth II may be converted into a Roux-en-Y, if necessary. It was first performed by T Billroth, an Austrian surgeon, in 1874.
What is a roux-en-Y gastric bypass?
Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.
What is the difference between Billroth II and Roux-en-Y gastrojejunostomy?
A Roux-en-Y gastrojejunostomy (as can be seen in Roux-en-Y gastric bypass procedures) has a different configuration than a Billroth II gastrojejunostomy. Some consider the Roux-en-Y a variation of a Billroth II procedure.
What is a roux-en-joint operation?
In this operation, the stomach is stapled or divided to form a small pouch (typically <30 mL in volume), which empties into a Roux limb of the jejunum of varying length (typically 75-150 cm).