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Gastrointestinal surgery


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Gastrointestinal surgery

  1. 1. GROUP 10
  2. 2. The most common diseases where are these procedures are:GATROINTESTINAL HIGH BLEEDING Upper gastrointestinal bleeding or upper gastrointestinal bleeding refers to bleeding that originates in the esophagus, stomach or duodenum, or was in a region proximal PEPTIC ULCER DISEASE Peptic ulceration, erosion and corrosion of the mucosa by the gastric juice.
  3. 3. DELAYED GASTRIC EMPTYING SYNDROME ANDSYNDROME POSTGASTRECTOMÍAOccurs by delayed emptying of chyme into theduodenum or after gastric surgery.CANCER GÁSTRICOStomach cancer or gastric cancer is a malignanttissue growth rate produced by the contiguous spreadof abnormal cells capable of invasion and destructionof other tissues and organs
  4. 4. ENTEROCUTANEOUS FISTULAS Enterocutaneous fistula is the most common presentation of intestinal fistulas, with the particular characteristic of externalized through the skin integument.
  5. 5. ACUTE ABDOMINAL PAIN In more severe cases, laparoscopy and surgery.
  6. 6. ACUTE APPENDICITISAppendicitis isinflammation of theappendix.Cases of acuteappendicitis require asurgical procedure calledlaparoscopicappendectomy orlaparotomy it is no morethan removal of theinflamed appendix.
  8. 8. It is an operation that helps you loseweight by changing how the stomachand small intestine handle the food youeat.
  9. 9. STEPS DURING GASTRIC BYPASSSURGERY There are two basic steps during gastric bypass surgery: The first step makes the stomach smaller. The surgeon uses staples to divide the stomach into a small upper section and a larger bottom section. The second step is the derivation. The surgeon connects a portion of the small intestine called the jejunum, a small hole in the bag.
  10. 10. RISKSRisks for any surgery or anesthesia include: • Allergic reactions to medicines • Blood clots in the legs that may travel to the lungs • Bleeding • Respiratory problems • Heart attack or stroke during or after surgery • Infection, including in the incision, lungs (pneumonia), bladder or kidney
  11. 11. SURGERY IN THE ABDOMINALCAVITYUpon entering, the surgeon needs to roll the vessels ofthe subcutaneous tissue almost immediately aftermaking the incision, unless you use an electrosurgicalunit.
  12. 12. GASTROINTESTINAL TRACT • Leakage from the anastomosis are the main problem faced by closing the wounds of the gastrointestinal tract. • This problem can be localized or generalized peritonitis. • The sutures should not be too tight knot at the anastomosis as they can cut the tissue and cause leaks. • Many surgeons prefer to use a closure in two planes, for safety placed a second layer of interrupted sutures through the serosa.
  13. 13. • To be an organ that contains free hydrochloric acidStomach and potent proteolytic enzymes, the stomach heals remarkably quickly. • The closure of the small intestine has the same Small considerations as the stomach. The proximal bowelIntestine contents, primarily bile or pancreatic juice, can cause severe chemical peritonitis. • The high microbial content of the colon that once made ​the biggest concern was Colon the pollution. Absorbable sutures But once you have absorbed, leaving no bacterial migration channels. • The rectum heals slowly. Because the lowerRectum portion is below the peritoneum, pelvic, no serosa.
  14. 14. CLOSING THE ABDOMEN When closing the abdomen, may be more important than the technique of suture material used. • The peritoneum, the thin membrane of the abdominal cavity is Peritoneum located below • This layer of firm, strong connective tissue covering the Fascia muscles is the main support structure of the body. Heal quickly. • Muscle does not tolerate well the suture. However, there are several options in this area. The abdominal muscles Muscle can be cut, paragraphs, or withdrawn, depending on the location and type of incision chosen. • not muscle or fat is well tolerated by suture. Some surgeonsSubcutaneous question the appropriateness of placing sutures in the fat fat tissue because it has little tensile strength due to its composition, which is mostly water.