What is gastrojemnostomia?
Gastrojemnostomy is a surgical procedure that directly connects the stomach with the jejunum, the second part of the small intestine, a small tube. The tube allows food, fluids and drugs to bypass the duodenum, the first part of the small intestine. People who have a stomach or duodenum, often caused by stomach cancer or pancreas and cannot spend food properly, may have to do this. In one common version of this procedure, one end of the tube is left in the patient's intestines, with the other end off the abdomen, which is used for feeding and giving nutrients for as long as necessary; This is often referred to as a GJ tube or a feed tube.
As the operation is performed
During surgery, patients can be offered sedatives to help reduce pain, local anesthetic to duplicate the cut area, or in some cases it will be sleep with general anesthesia. Other preparatory steps include the settings and use of an ultrasound of some other machine that allows a health care specialist exactlyView, where to insert and move the tube. The stomach is filled with air and stitched into the abdomen so that the tube can be properly placed; Warehouses are usually removed another day. The skin around the cut is also cleaned to kill any bacteria.
At this point, the patient should be prepared for a surgeon to form an opening in the abdomen. There are two basic methods for cutting: the original gastrojemnostomic procedure, which uses an open cut in the abdomen, and percutaneous gastrojemnostomy, which uses a small puncture of the needle in the abdomen. Both methods approach the patient's abdomen to the stomach and herun, but the second method generally creates a much smaller cut than the first; This usually leads to minor bleeding, less complications and faster recovery. Once the cut was made, the tube is inserted into the stomach, usually just below the thoracic cage.
recovery
the whole procedure usually takes about one hour and is relatively painless; However, if there is discomfort. Once the tube is in place and the cut is closed, the patient spends about 24 hours in the hospital to be monitored and learned how to use and take care of the feed tube properly. The GJ and the surgical cut must be kept clean and sterile to prevent infection. In many cases, the caregiver will also learn how to use and care for the feed tube if the patient is unable to do it himself.
How to prepare
Before undergoing this type of surgery, the patient should certainly be informed of his doctor about any medication used. It may be necessary to stop taking or lowering medicines in advance as some may cause complications. Healthcare employees should also be informed of any allergic reactions to medications or anesthetics and any other health conditions experienced by the patient in the past. Patients with gastrojemnostomy should be affected before surgery, generally for at least six hours; LengthAnd the rapid and whether fasting includes delay in food and fluids should be verified with the healthcare provider.
risks
As with most operations, there is a risk that side effects may occur after surgery. The infection can occur around the cut in the abdomen and internally. Occasionally bleeding occurs internally or cut, which leads to excessive blood loss. During the percutaneous gastrojaunostomy, it is possible for the organ to be pierced when the incision is made. Other risks include leakage between stomach and small intestines, intestinal problems slowing or non -functional effects of anesthesia or other drugs.