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