TerminologyGeneral

Anastamosis = new connection (end-to-end, end-to-side, side-to-side)

Roux-en-Y = loop of jejunum for drainage Interposition = “tube” substitution “Neo-” = new (or replacement) Orthotopic = normal or usual location (Ectopic = abnormal or unusual location)

Common GU SurgeriesUrinary Diversion

+/- Cystectomy Incontinent (stoma + bag) vs. continent

(stoma + no bag) vs. orthotopic or non-orthotopic neobladder (no stoma + no bag)

Continent diversions and neobladders - Mainz pouch 3, Indiana pouch 5, UCLA pouch 4, Koch pouch 6, and Studer ileal neobladder 9

Urinary Reservoirs & Neobladders

Common GI Surgeries

Esophagus Stomach/duodenum Pancreaticobiliary Small bowel Colon

Common GI SurgeriesEsophagus

Antireflux – Fundoplication (Nissen, Toupet)

Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents

Fundoplication

Nissen = 360 degreesBest results

Toupet = 270 degreesLess dysphagia

Collis Gastroplasty

Lengthens short esophagus for fundoplication

Esophagectomy and Gastric Pull-up

Common GI SurgeriesStomach

Roux-en-Y gastric bypass, adjustable gastric banding (LapBand), vertical banded gastroplasty

Gastrojejunostomy Billroth I

(partial gastrectomy with gastroduodenostomy) Billroth II

(partial gastrectomy with gastrojejunostomy) Gastrectomy with esophagojejunostomy

Obesity Operations

Roux-en-Y Gastric Bypass (RYGB)

Adjustable Gastric Banding(LapBand)

Vertical Banded Gastroplasty

Billroth I

Billroth II

Pancreaticobiliary Surgery

Choledochoduodenostomy Choledochojejunostomy Lateral pancreaticojejunostomy (Puestow) Whipple (classic and pyloric sparring)

Whipple Procedure

Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy

Pyloric sparring: No partial gastrectomy

Whipple Procedure

Classic

Pyloric sparring

Puestow

Small Bowel Surgeries

Resection Ileostomy

Colon Surgeries

Resection (any or all) Colostomy (loop; end) Hartman’s procedure

(colostomy with closed rectal pouch) J-pouch (proctocolectomy with

orthotopic ileal neorectum with ieloanal anasatmosis)

J-Pouch