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However, other surgeons have been able to locate a single incision in the umbilicus – trans-umbilical gastric banding – which leaves no visible scar on the external abdominal wall. [9] On February 14, 2009, the UK's first SILS implantation of a gastric band was performed by the pioneering surgeon Professor Franco Favretti and his Healthier ...
The angular incisure (or angular notch) is a small notch on the stomach. It is located on the lesser curvature of the stomach near the pyloric end. Its location varies depending on how distended the stomach is. [1] The angular incisure is used as a separation point between the right and left portions of the stomach, the body and the pylorus. [2]
It is a variation on the duodenal switch surgery, incorporating a vertical sleeve gastrectomy with a gastric bypass technique. [1] The SADI-S is a type of bariatric surgery with a single surgical anastomosis. It has a restrictive component when reducing the greater curvature of the stomach, but especially a malabsorptive component, as the ...
Surgery, consisting of excision of part of the lower stomach, also called antrectomy, is another option. [6] [16] Antrectomy is "the resection, or surgical removal, of a part of the stomach known as the antrum". [2] Laparoscopic surgery is possible in some cases, and as of 2003, was a "novel approach to treating watermelon stomach". [26]
For severe duodenal ulcers, it may be necessary to remove the lower portion of the stomach and the upper portion of the small intestine. If there is a sufficient portion of the upper duodenum remaining, a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the common bile duct.
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Abdominal surgery always results in some scarring of the bowel, called adhesions. A hernia, either internal or through the abdominal wall, may also result. When the bowel becomes trapped by adhesions or a hernia, it may become kinked and obstructed, sometimes many years after the original procedure.
Diagram from cancer.gov: 1. Body of stomach 2. Fundus 3. Anterior wall 4. Greater curvature 5. Lesser curvature 6. Cardia 9. Pyloric sphincter 10. Pyloric antrum 11. Pyloric canal 12. Angular incisure 13. Gastric canal 14. Rugal folds. The pylorus is the furthest part of the stomach that connects to the duodenum.