Resection for treatment of gastric and duodenal ulcers
1. Peptic ulcer disease is a disease like?
The basis of surgical treatment based on the mechanism of gastric ulcer is to remove the cause of the ulcer, to reduce the gastric acidosis to the required level, not to remove the ulcer. Therefore, the gastroduodenal resection is the removal of the acid-secreting reflex area of the stomach, the antrum, and the body by surgery to ensure two requirements:
Removal of the ulcer and removal of the pathogenic gastrectomy ulcer. Establish an oral gastrointestinal tract connecting the remaining gastric segment with the first loop of the jejunum. In addition, in some cases, due to a deep ulcer, 2/3 of the stomach can be cut, leaving an ulcer.
2. Indications for gastrectomy to treat peptic ulcer disease
In case of ulcer with complication of perforation, Uncontrollable gastrointestinal bleeding Complications of pyloric stenosis, cancer. Gastroduodenal ulcer that recurred with medical treatment did not help.
3. Contraindications to gastrectomy for peptic ulcer treatment
4. Steps to perform gastric ulcer treatment
Laparotomy conduct exploration and assessment of lesions such as ulcer status, check other organs in the abdomen.
Conduct separation, release the large curvature of the stomach to resect and dissect the small curvature of the stomach, stopping bleeding. Dissection of the pyloric vascular bundle, paired with clips or ligation. Cut and close the duodenal apex. Ligation of the coronary artery by dissection, clip clip or ligation of the coronary artery. Gastrectomy with an endoscopic gastrectomy for about 2 rounds or with a knife Re-establish gastrointestinal circulation by mechanical finsterer gastrojejunostomy or manual suture laparoscopically. Examining, taking specimens for pathology Close the abdomen
5. Notes in cutting treatment for peptic ulcer disease
Limit the cut on the stomach without dilatation, the small curvature is from 13-15cm in length and the large curvature is from 40-45cm. The small curvature must be resected at least 10cm and the large curvature at least 20cm. After partial gastrectomy, the remaining stomach is then connected to the duodenum or to the jejunum.
6. Intraoperative complications and early postoperative complications
At Vinmec International General Hospital with a team of experienced doctors and a system of modern medical equipment, ensuring complete sterility to meet strict standards for internal surgery Gastroscopy in the treatment of diseases related to the stomach and duodenum.
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