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)

What is the surgical procedure for pyloroplasty?

Pyloroplasty involves cutting through and removing some of the pyloric sphincter to widen and relax the pylorus. This makes it easier for food to pass into the duodenum. In some cases, the pyloric sphincter is entirely removed.

What is Finney pyloroplasty?

Finney pyloroplasty, a procedure that is rarely performed today, is a side-to-side gastroduodenostomy between the anterior surfaces of the stomach and the duodenum. It differs from the Jaboulay pyloroplasty in that the pylorus is incised.

What is a vagotomy and pyloroplasty?

Truncal vagotomy. This type is commonly used with pyloroplasty or abdominal drainage to treat chronic peptic ulcers. It involves cutting one or more of the branches that split off the main trunk of the vagus nerve and travel down your esophagus to your stomach and other digestive organs.

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.

What is the difference between a pyloromyotomy and a Pyloroplasty?

What is truncal vagotomy?

A truncal vagotomy is the division of the anterior and posterior trunks 4-cm proximal to the GEJ. Removes the acetylcholine-mediated secretion of acid from parietal cells. Results in the accelerated emptying of liquids due to the removal of the vagally mediated receptive relaxation of the gastric fundus.

What is vagotomy surgery?

Vagotomy is a surgery where part of your vagus nerve is removed. Until antacid medications and stomach bacteria treatments came along, this was one of the main treatments for peptic ulcer disease.

When do you do vagotomy?

Vagotomy is indicated for patients who develop acute complications from peptic ulcer disease (ie, bleeding, perforation, obstruction) or chronic intractable symptoms such as pain, despite being on maximally tolerated medical therapies.

What is a pyloromyotomy surgery?

In surgery to treat pyloric stenosis (pyloromyotomy), the surgeon makes an incision in the wall of the pylorus. The lining of the pylorus bulges through the incision, opening a channel from the stomach to the small intestine.

What is the definition of Heineke-Mikulicz pyloroplasty?

Heineke-Mikulicz pyloroplasty enlargement of a pyloric stricture by incising the pylorus longitudinally and suturing the incision transversely. Hei·ne·ke-Mik·u·licz py·lo·ro·plas·ty. pyloroplasty in which a short (2-3 inch), longitudinal incision is made through the pylorus and closed transversely.

Where is the incision made in a pyloroplasty?

In the Heineke–Mikulicz/ Weinberg variant, a longitudinal incision is made from the distal gastric antrum across the pylorus onto the first portion of the duodenum. This incision is then closed in a transverse fashion in either one or two layers of sutures, creating a wide gastric outlet (Fig. 1A).

Which is the best definition of Finney pyloroplasty?

[pi-lor´o-plas″te] plastic surgery of the pylorus, especially for pyloric stricture, to provide a larger communication between the stomach and duodenum. Finney pyloroplastyenlargement of the pyloric canal by establishment of an inverted U-shaped anastomosis between the stomach and duodenum after longitudinal incision.

How is the pylorus different from the Jaboulay pyloroplasty?

It differs from the Jaboulay pyloroplasty in that the pylorus is incised. The greater curvature of the prepyloric antrum is attached to the medial wall of the adjacent duodenum via interrupted seromuscular sutures.