What is Finney pyloroplasty?
Finney pyloroplasty enlargement of the pyloric canal by establishment of an inverted U-shaped anastomosis between the stomach and duodenum after longitudinal incision. Heineke-Mikulicz pyloroplasty enlargement of a pyloric stricture by incising the pylorus longitudinally and suturing the incision transversely.
When is pyloroplasty done?
Pyloroplasty is used to treat complications in people with peptic ulcers or other stomach problems that cause a blockage of the stomach opening.
Do you lose weight after pyloroplasty surgery?
In the multivariate logistic regression analysis, the absence of pyloroplasty was the sole risk factor for more than 10% weight loss (OR: 3.22; 95% CI: 1.08-11.9; P = 0.036). Our data suggest that pyloroplasty with esophagectomy can overcome the post-surgical weight loss.
How successful is pyloroplasty surgery?
Conclusion: Laparoscopic pyloroplasty improves or normalizes gastric emptying in nearly 90% of gastroparesis patients with very low morbidity. It significantly improves symptoms of nausea, vomiting, bloating, and abdominal pain.
Why pyloroplasty is done after vagotomy?
The main indication for a pyloroplasty is to facilitate gastric emptying after vagotomy. Historically, the most common use of pyloroplasty was in combination with truncal vagotomy in operations for peptic ulcer disease.
What kind of sutures are used in Weinberg pyloroplasty?
In the Weinberg modification of the original Heineke-Mikulicz pyloroplasty, multiple rows of sutures are used. Gambee inverting sutures may be used instead of simple sutures. Long-acting 3-0 synthetic absorbable suture material is used, and bites are taken 2-3 mm apart and 2-3 mm from the edge.
What are the advantages and disadvantages of pyloroplasty?
The advantage of this procedure is that it produces a very large gastric outlet. However, significant scarring of the duodenum can make performance of a Finney pyloroplasty impossible. The main indication for a pyloroplasty is to facilitate gastric emptying after vagotomy.
Where is the incision made in a pyloroplasty?
In the Heineke–Mikulicz/ Weinberg variant, a longitudinal incision is made from the distal gastric antrum across the pylorus onto the first portion of the duodenum. This incision is then closed in a transverse fashion in either one or two layers of sutures, creating a wide gastric outlet (Fig. 1A).
Which is untenable pylorus or Heineke Mikulicz pyloroplasty?
The Finney pyloroplasty (Fig. 59.4; see also Fig. 59.2) is indicated in the setting of extensive scarring and narrowing of a significant portion of the duodenal bulb, making a Heineke-Mikulicz pyloroplasty untenable. The pylorus is identified and mobilized with a generous Kocher maneuver.