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ANATOMIC MECHANICS UNDERLYING GASTROJEJUNOSTOMY: With Particular Reference to Anterior or Antecolic Types of Anastomoses

ANATOMIC MECHANICS UNDERLYING GASTROJEJUNOSTOMY: With Particular Reference to Anterior or... Abstract THERE is a common belief that an anterior or antecolic anastomosis between stomach and jejunum has advantages over a posterior or retrocolic type of union. This belief is held for the simple gastroenterostomy of the Wölfler type as well as for the anastomoses that are done following resection of the stomach. It is not the purpose of this paper to offer a partisan view of the merits of either the antecolic or retrocolic procedure. It is assumed that both operations have their individual advantages, under varying conditions. There is a need for better appreciation of some of the mechanical and anatomic limitations which present themselves to the surgeon who does either operation. The suggestion is made that when the omentum is thick and the mesentery of the transverse colon is fatty, one can bring a long loop of the jejunum around the colon easier and more safely than can be References 1. Cunningham, D. J.: Cunningham's Text Book of Anatomy , edited by A. Robinson, Baltimore, William Wood & Co., 1913. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

ANATOMIC MECHANICS UNDERLYING GASTROJEJUNOSTOMY: With Particular Reference to Anterior or Antecolic Types of Anastomoses

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1948 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1948.01240010720002
Publisher site
See Article on Publisher Site

Abstract

Abstract THERE is a common belief that an anterior or antecolic anastomosis between stomach and jejunum has advantages over a posterior or retrocolic type of union. This belief is held for the simple gastroenterostomy of the Wölfler type as well as for the anastomoses that are done following resection of the stomach. It is not the purpose of this paper to offer a partisan view of the merits of either the antecolic or retrocolic procedure. It is assumed that both operations have their individual advantages, under varying conditions. There is a need for better appreciation of some of the mechanical and anatomic limitations which present themselves to the surgeon who does either operation. The suggestion is made that when the omentum is thick and the mesentery of the transverse colon is fatty, one can bring a long loop of the jejunum around the colon easier and more safely than can be References 1. Cunningham, D. J.: Cunningham's Text Book of Anatomy , edited by A. Robinson, Baltimore, William Wood & Co., 1913.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1948

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