There are many problems that relate to stomach. One of them is stomach cancer or stomach tumor. If you get stomach cancer or stomach tumor, you may not be able to eat. You need to take surgery in this condition There are many options of stomach surgery. You have to compare them and choose the most appropriate one for you. One of the most popular options is Roux-En-Y Gastrojejunostomy

1. Roux-En-Y
Gastrojejunostomy for
Stomach Cancer

2. There are many problems that
relate to stomach. One of them is
stomach cancer or stomach tumor.
If you get stomach cancer or
stomach tumor, you may not be
able to eat. You need to take
surgery in this condition

3. There are many options of stomach surgery. You
have to compare them and choose the most
appropriate one for you. One of the most
popular options is Roux-En-Y Gastrojejunostomy

4. Types of Roux-En-Y
Gastrojejunostomy
• One of the types is open Roux-En-Y
Gastrojejunostomy. The surgery is done
through a big incision in the wall of your
abdominal.
• Another one is clipped or stitched into
the wall of your stomach. This
procedure is taken if you get stomach
cancer

5. What Should You Eat?
• You have to be careful to choose the
foods and beverages. It will be better if
you meet and consult with your doctor.
• After taking the surgery, you are only
allowed to take oral fluids. You cannot
eat real foods. It may take for a few
days depending on your condition after
the surgery.
• You should only drink fluids for about 4
up to 9 days after the surgery. You have
to follow this rule so that the recovery
will be faster.

6. What Should You Eat?
• After 9 days of post surgery or after your
stomach can tolerate fluids, your doctor will
allow you to eat foods. The foods should be
introduced slowly.
• The portion will be smaller with about 6 up to 8
times per day. You need to reduce the regular
meals because the capacity of your stomach will
not be able to load too many meals anymore.
• You may eat carbohydrate foods after the
surgery such as eating poultry, fruits, pasta,
potato, etc. Dairy products are allowed.

7. Side Effects of the Surgery
• Bleeding is the most common side effects after
taking this surgery.
• Wound breakdown will possible to happen.
• Blood clots belong to one of the side effects of the
surgery.
• This surgery can cause infection. If the infection is
in a dangerous condition, the worst possibility is
that it causes death.

8. Side Effects of the
Surgery
• You need to keep hydrated even
though you cannot eat too much.
• You should keep your body
balanced because imbalance is one
of the causes of complications.
• If you have anemia, you should get
the blood transfusion as soon as
possible.

9. The Indications of
Gastrojejunostomy
• Gastrojejunostomy is indicated by Gastric
Outlet Obstruction or well known as GOD.
• It is the most often Roux-En-Y
Gastrojejunostomy indication of this
stomach problem.
• It occurs for prepyloric ulcer or chronic
duodenal. Then, it may occur with
corrosive injury of your stomach.
• So, Roux-En-Y Gastrojejunostomy is needed
to recover those stomach problems.

10. The Contra-
indications of
Gastrojejunostomy
• One of them is the conditions that
can increase anastomotic leak risk.
• The condition may include diffuse
peritonitis as well as severe sepsis.
• Extensive gastric varices may belong
to the contraindications of this
stomach problem.
• Another contraindication is
laparoscopic approach.

11. Technical
Considerations
• You need to optimize preoperative
conditions such as to get adequate
hydrations.
• It can prevent or minimize the risk of
postoperative complications.
• Antique Gastrojejunostomy belongs to
easy technical considerations that you
should pay attention.
• Another technical consideration is
laparoscopic Gastrojejunostomy.

12. Procedural Planning
• One of the procedural plans is
retrocolic Gastrojejunostomy.
• It is a short afferent loop that
results in the decreased incidence
of the syndrome of afferent loop.

13. Procedural Planning
• Antecolic is one of the procedural plans if
you want to take this stomach surgery.
• Different from retrocolic, antecolic position
should be preferred because this procedure
is technically easier.
• When it is performed for malignant,
whether in a palliative or after gastrectomy,
the position of antetolic is preferred for the
position of retrocolic.

14. There are many things that you need to pay
attention before, during, and after the
stomach surgery. This will be a good
reference, especially for you who have
stomach cancer or a tumor and want to take
this stomach surgery.
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