Do's and Don'ts in Gastro-Intestinal Surgery

Do’s and don’ts in gastro-intestinal surgery

In this presentation gastro-intestinal surgery will be discussed from a practical point of view. The most frequent indications for surgery will be presented as well as a brief overview of the relevant anatomy.

Stomach
The gastric blood supply rises from the celiac artery. The lesser curvature is supplied by the gastric artery and the larger curvature is supplied by the gastroepiploic artery. The short gastric arteries transverse the greater omentum between the fundus of the stomach and left side of the spleen.

Surgery of the stomach
The most frequent Indications for surgery are removal of foreign bodies and correction of gastric dilatation-volvolus (GDV) . Surgical removal of ingested foreign bodies is a frequent indication for gastrotomy. Gastrotomy is a straight-forward procedure and is usually performed in the corpus of the stomach. The incision is placed halfway between the curvature major and minor. The incisions size is depended on the size of the foreign body. Soiling of the surrounding tissue with gastric contents should be avoided. Preventive measures include placement of a gastric tube, the availability of suction and packing of the surrounding tissue with moist towels or sponges. Clamping of the stomach proximal and distal to the incision-site may be considered. […]