Electricity Demand Side Management (DSM) and End-use Efficiency
Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y =...
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Transcript of Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y =...
![Page 1: Terminology General Anastamosis = new connection (end-to-end, end-to-side, side-to-side) Roux-en-Y = loop of jejunum for drainage Interposition = tube.](https://reader035.fdocuments.us/reader035/viewer/2022070305/5514d488550346b0478b5160/html5/thumbnails/1.jpg)
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)
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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
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Urinary Reservoirs & Neobladders
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Common GI Surgeries
Esophagus Stomach/duodenum Pancreaticobiliary Small bowel Colon
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Common GI SurgeriesEsophagus
Antireflux – Fundoplication (Nissen, Toupet)
Collis gastroplasty Esophagectomy Interposition (usually colonic) Heller myotomy (Achalasia) Stents
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Fundoplication
Nissen = 360 degreesBest results
Toupet = 270 degreesLess dysphagia
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Collis Gastroplasty
Lengthens short esophagus for fundoplication
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Esophagectomy and Gastric Pull-up
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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
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Obesity Operations
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Roux-en-Y Gastric Bypass (RYGB)
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Adjustable Gastric Banding(LapBand)
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Vertical Banded Gastroplasty
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Billroth I
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Billroth II
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Pancreaticobiliary Surgery
Choledochoduodenostomy Choledochojejunostomy Lateral pancreaticojejunostomy (Puestow) Whipple (classic and pyloric sparring)
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Whipple Procedure
Classic: Cholecystectomy, partial gastrectomy, duodenectomy, partial pancreatectomy, gastrojejunostomy, choledochojejunostomy and pancreaticodochojejunostomy
Pyloric sparring: No partial gastrectomy
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Whipple Procedure
Classic
Pyloric sparring
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Puestow
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Small Bowel Surgeries
Resection Ileostomy
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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)
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J-Pouch