c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Ivor-Lewis Esophagectomy: 28

A D V E R T I S E M E N T

   
 

Stay sutures at the superior and inferior sides of the pylorus were marked with clips for later radiographic localization. Note the pyloric vein (of Mayo) marking the external surface of the pylorus.       

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Ivor-Lewis Esophagectomy: 29

A D V E R T I S E M E N T

   
 

A longitudinal incision was made across the pylorus.       

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Ivor-Lewis Esophagectomy: 30

A D V E R T I S E M E N T

   
 

A Heineke-Mikulicz pyloroplasty was made using Gambe stitches of 3-0 GI silk. The pyloroplasty is done to avoid pyloric spasm and gastric outlet obstruction that occurs in 15% of individuals after truncal vagotomy.       

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This page was last modified on 2/28/2002.