roux-en-y gastrojejunostomy

Roux-En-Y Gastrojejunostomy for Stomach Cancer

Stomach problem is increased. There are many problems that relate to stomach. One of them is stomach cancer or stomach tumor. If you get stomach cancer or stomach tumor, you may not be able to eat. You need to take surgery in this condition. There are many options of stomach surgery. You have to compare them and choose the most appropriate one for you. One of the most popular options is Roux-En-Y Gastrojejunostomy. If you want to know more about this weight loss surgery, you need to follow this article.

Types of Roux-En-Y Gastrojejunostomy

There are two different types of this surgery. The types are divided based on the procedures of the surgery. One of the types is open Roux-En-Y Gastrojejunostomy. The surgery is done through a big incision in the wall of your abdominal. Another one is clipped or stitched into the wall of your stomach. This procedure is taken if you get stomach cancer. So, you have to compare those procedures and choose the Roux-En-Y Gastrojejunostomy procedure or type that meets your need.

What Should You Eat?

Gastrojejunostomy is the condition where you are not able to eat because of your stomach cancer. What foods are allowed to eat? Or what beverages are allowed to drink? You have to be careful to choose the foods and beverages. It will be better if you meet and consult with your doctor. After taking the surgery, you are only allowed to take oral fluids. You cannot eat real foods. It may take for a few days depending on your condition after the surgery. You should only drink fluids for about 4 up to 9 days after the surgery. You have to follow this rule so that the recovery will be faster.

After 9 days of post surgery or after your stomach can tolerate fluids, your doctor will allow you to eat foods. The foods should be introduced slowly. The portion will be smaller with about 6 up to 8 times per day. You need to reduce the regular meals because the capacity of your stomach will not be able to load too many meals anymore. You may eat carbohydrate foods after the surgery such as eating poultry, fruits, pasta, potato, etc. Dairy products are allowed.

Side Effects of the Surgery

Roux-En-Y Gastrojejunostomy surgery may cause some side effects. You have to know the side effects first before you take this surgery. Bleeding is the most common side effects after taking this surgery. Wound breakdown will possible to happen. Blood clots belong to one of the side effects of the surgery. This surgery can cause infection. If the infection is in a dangerous condition, the worst possibility is that it causes death. So, you have to follow all the procedures to minimize the side effects.

Those side effects or complications can be prevented. It can minimize the risk of complications. You need to keep hydrated even though you cannot eat too much. You should keep your body balanced because imbalance is one of the causes of complications. If you have anemia, you should get the blood transfusion as soon as possible. The complication prevention also relates to the technique or method of the surgery. You have to plan this surgery properly. The recovery time will be faster without any side effect or complication.

The Indications of Gastrojejunostomy

Gastrojejunostomy is indicated by Gastric Outlet Obstruction or well known as GOD. It is the most often Roux-En-Y Gastrojejunostomy indication of this stomach problem. This may occur in some clinical scenarios. It occurs for prepyloric ulcer or chronic duodenal. Then, it may occur with corrosive injury of your stomach. It happens after acid ingestion. It may happen for resectable carcinoma. Other conditions are for nonresectable malignancies, morbid obesity, and gastroparesis. So, Roux-En-Y Gastrojejunostomy is needed to recover those stomach problems.

The Contra-indications of Gastrojejunostomy

Besides the indications, you need to know the contra-indications of Gastrojejunostomy. It can include some conditions. One of them is the conditions that can increase anastomotic leak risk. The condition may include diffuse peritonitis as well as severe sepsis. Extensive gastric varices may belong to the contraindications of this stomach problem. Another contraindication is laparoscopic approach. After you know all the contra-indications above, you can plan Roux-En-Y Gastrojejunostomy well. However, some technical considerations are needed as follows.

Technical Considerations

Before you take Roux-En-Y Gastrojejunostomy, you need to pay attention to some technical considerations. You need to optimize preoperative conditions such as to get adequate hydrations. It can prevent or minimize the risk of postoperative complications. It is important for you to pay attention to the Gastrojejunostomy appropriate positioning. Antique Gastrojejunostomy belongs to easy technical considerations that you should pay attention. Another technical consideration is laparoscopic Gastrojejunostomy.

Procedural Planning

You may need to pay attention to some procedural plans before taking this stomach surgery. One of the procedural plans is retrocolic Gastrojejunostomy. It is a short afferent loop that results in the decreased incidence of the syndrome of afferent loop. It belongs to procedural planning of Roux-En-Y Gastrojejunostomy that you have to know.

Antecolic is one of the procedural plans if you want to take this stomach surgery. Different from retrocolic, antecolic position should be preferred because this procedure is technically easier. When it is performed for malignant, whether in a palliative or after gastrectomy, the position of antetolic is preferred for the position of retrocolic.

That is all about Roux-En-Y Gastrojejunostomy. There are many things that you need to pay attention before, during, and after the stomach surgery. This will be a good reference, especially for you who have stomach cancer or a tumor and want to take this stomach surgery.