What is a Heineke mikulicz pyloroplasty?
Heineke-Mikulicz pyloroplasty involves a longitudinal incision across the pylorus that is closed transversely; this is the most commonly performed pyloroplasty. Jaboulay pyloroplasty involves a side-to-side gastroduodenostomy without a pylorus incision (ie, the pylorus remains intact)
How successful is pyloroplasty surgery?
Conclusion: Laparoscopic pyloroplasty improves or normalizes gastric emptying in nearly 90% of gastroparesis patients with very low morbidity. It significantly improves symptoms of nausea, vomiting, bloating, and abdominal pain.
What is the difference between pyloroplasty and pyloromyotomy?
Although pyloroplasty is the most common gastric emptying procedure performed, pyloromyotomy is easier to perform and is associated with less morbidity. The aim of this study was to compare the efficacy of pyloromyotomy and pyloroplasty in children with DGE and GER undergoing a fundoplication.
In which procedure is pyloroplasty?
Pyloroplasty is surgery to widen the opening in the lower part of the stomach (pylorus) so that stomach contents can empty into the small intestine (duodenum).
Do you lose weight after pyloroplasty surgery?
In the multivariate logistic regression analysis, the absence of pyloroplasty was the sole risk factor for more than 10% weight loss (OR: 3.22; 95% CI: 1.08-11.9; P = 0.036). Our data suggest that pyloroplasty with esophagectomy can overcome the post-surgical weight loss.
What are the complications of pyloroplasty?
Vagotomy and pyloroplasty are associated with technical complications, the most important being rupture of the esophagus, splenic injury, leak at the pyloroplasty, and intra-abdominal bleeding.
What happens in a pyloromyotomy?
A pyloromyotomy (say: pie-LOR-oh-my-OTT-uh-mee) is surgery (an operation) to repair the pylorus. During the operation, the surgeon cuts the tight muscle between the stomach and small intestine. This loosens the muscle so the stomach can empty and food will be able to pass easily into the small intestine.
What is a Heineke-Mikulicz pyloroplasty?
A Heineke-Mikulicz pyloroplasty consists of a longitudinal incision through the pylorus from the distal antrum to the proximal duodenum. This incision is closed transversely to increase the diameter of the pyloric channel.
What is the Heineke-Mikulicz technique for gastroparesis?
The Heineke-Mikulicz technique is the most straightforward approach for pyloroplasty. Because the pylorus itself is not inflamed in patients with gastroparesis, there is no need to employ other techniques such as a Jaboulay pyloroplasty. The pylorus can often be identified by visualizing the prepyloric vein of Mayo.
What is a Mikulicz mask?
Mikulicz mask – gauze-covered frame, worn over the nose and mouth while performing surgery. Mikulicz syndrome – symptoms characteristic of Mikulicz disease occurring as a complication of some other disease, such as lymphoma or leukemia. Mikulicz-Vladimiroff amputation – an osteoplastic resection of the foot.
What is the pathophysiology of Mikulicz disease?
Mikulicz disease – benign swelling of the lacrimal, and usually also of the salivary glands, in consequence of an infiltration of and replacement of the normal gland structure by lymphoid tissue. Mikulicz mask – gauze-covered frame, worn over the nose and mouth while performing surgery.