Diseases of the Stomach and Duodenum

8/12/2019 Diseases of the Stomach and Duodenum

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These patients may get diarrhea: dumping syndrome.a.

Resect the portion thats involved. Now have a duodenum tha ts free. Usually because of thepresence of PUD, it will scar the duodenum out a lot. So its usually hard to free it up and stick itback. So a billroth 2 is anastmasing the jejunum to the stomach and this re-establishes flow.Problems (bacteria, blind loop)

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Billroth 1, its more physiologic. Duodenum was not scarred down, you were able to f ree it upand anastmase it to the stomach as it shoul d be . These people have less trouble with Dumping.

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21. 22. dont give them contrast! You have contrast in stomach and out in free abdomen. 23.anterior perforation. You cant suture the inflamed duodenum like this because it will cut rightthrough, its very friable and tearable. 24. perf in first duodenum. Rhoscogram patch. Attachomentum.

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Diseases of the Stomach and Duodenum

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Transcript of Diseases of the Stomach and Duodenum