How Is a Gastrojejunostomy Performed?
A gastrojejunostomy can be performed as either an open or laparoscopic procedure, and it takes between two and four hours to complete. When performed laparoscopically, this surgery produces less downtime, a faster recovery, shorter hospitalization and a reduced risk of complications. Laparoscopic surgery is far less invasive than open surgery.
Open vs Laparoscopic Gastrojejunostomy
With open surgery, your surgeon will make one long incision across your abdomen to access your stomach and intestines.
With laparoscopic surgery, your surgeon will make a series of small incisions on the abdomen, into which tiny surgical instruments will be inserted to perform the surgery. One of these instruments is called a laparoscope, which has a light and camera that projects images of your abdominal cavity onto a screen. This gives your surgeon a large, clear view of your insides so the surgery can be performed as carefully and as precisely as possible without the need for a larger incision.
The smaller incisions made during laparoscopic surgery are usually easy to manage and care for and generally heal more quickly than the one long incision made during open surgery. Smaller incisions also reduce the risk of complications, including bleeding and infection.
Steps of the Procedure
Gastrojejunostomy is performed in a hospital setting under general anesthesia. First, your surgeon will make one large incision or several tiny incisions on your abdomen near the lower stomach and duodenum.
Next, your surgeon will locate the end of the duodenum and measure a 10-centimeter loop of jejunum next to it. This loop will then be attached to the stomach at least five centimeters above the blockage or damaged part of the duodenum.
After this new pathway is created, your surgeon will make sure the connection is strong using techniques that check for any bleeding or leakages from the surgical site. Then, your surgeon will close your incision(s) using staples or sutures and take you to the recovery room for monitoring.