Question

You validate Mr. Lewin's understanding of his upcoming surgical procedure (selective vagotomy and antrectomy with Billroth II anastomosis) when he tells you that the procedure involves:

a) Removal of a portion of the stomach
b) Removal of the lower part of the esophagus
c) Bypassing the duodenum and connecting the stomach directly to the jejunum
d) Creation of a pouch from the stomach

Answer 1

Mr. Lewin's description of his surgery likely includes the removal of part of the stomach and the redirection of food flow from the stomach to the jejunum, bypassing the duodenum.

This reflects a combination of selective vagotomy and antrectomy with Billroth II anastomosis, not specifically a weight-loss procedure like bariatric surgeries, which create a stomach pouch for reducing food intake.

Step-by-step explanation:

Mr. Lewin's understanding of his upcoming surgical procedure is that it involves selective vagotomy and antrectomy with Billroth II anastomosis.

Specifically, his description likely means:

• Removal of a portion of the stomach (antrectomy).
• Bypassing the duodenum and connecting the stomach directly to the jejunum (Billroth II anastomosis).

This procedure differs from a Roux-en-Y bariatric surgery, which creates a small pouch from the stomach and attaches it directly to the jejunum. Also, the surgeries described in the context of bariatric surgery are focused on reducing intake and absorption of food for weight loss, whereas vagotomy and antrectomy can address other conditions like ulcers or cancer.