Unlike intracorporeal gastroduodenostomy
or gastrojejunostomy, the surgical space for IEJ is deeper and narrower.
Momoi et al., "Delta-shaped anastomosis in totally laparoscopic Billroth I gastrectomy: new technique of intraabdominal gastroduodenostomy
," Journal of the American College of Surgeons, vol.
During laparoscopic surgery, intracorporeal gastroduodenostomy
has been typically considered a challenging technique because of the difficulty of operating in the narrow working space around the duodenal stump.
Ampulla is Preserved and also the Pylorus and Hence Patient was taken up for a Gastroduodenostomy
and Anatomical continuity is restored.
The techniques described for the primary duodenal repair included 58 duodenoduodenostomies, 6 duodenojejunostomies, 1 gastroduodenostomy
, and 15 duodenoplasty repairs (with or without web excision), and 6 patients had web excision without duodenoplasty.
creates a new connection between the stomach and the duodenum.
In the past different surgical interventions have been used to repair the pyloric stenosis or gastric outflow obstruction i.e pyloromyotomy , pyloroplasty, partial or complete pylorectomy (Billroth 1) Slatter (2003), pyloroduodenotomy ,Fredet-Ramstedt pyloromyotomy, antrectomy with gastroduodenostomy
or gastro- jejunostomy, Heineke-Mikulicz type pyloroplasty.