. Modern surgery, general and operative. of seroussuture (Moynihan). Moynihans Method of Gastro-enterostomy 1239 the tip should point to the right shoulder and the handle to the outer side ofthe left hip, and the lowest portion of the stomach is grasped in the tip of theblade of the clamp (Fig. 760). The clamp is now put in a horizontal duodenojejunal flexure is found by the finger, the jejunum is identifiedand its natural position is noted. The jejunum is picked up and drawn tightand a spot is noted which reaches the greater curvature of the stomach when thejejunum is in its natu
. Modern surgery, general and operative. of seroussuture (Moynihan). Moynihans Method of Gastro-enterostomy 1239 the tip should point to the right shoulder and the handle to the outer side ofthe left hip, and the lowest portion of the stomach is grasped in the tip of theblade of the clamp (Fig. 760). The clamp is now put in a horizontal duodenojejunal flexure is found by the finger, the jejunum is identifiedand its natural position is noted. The jejunum is picked up and drawn tightand a spot is noted which reaches the greater curvature of the stomach when thejejunum is in its natural position. The point noted is 5 inches from the flexureand the anastomosis is made to the jejunum above the spot. The clamp isapplied in the side of the gut opposite the mesentery. The surgeon must besure that the jejunum is not twisted around its longitudinal axis. If it is, theclamps are not rightly applied, and they must be placed so that after the anas-tomosis the jejunum lies in its natural position without a twist. The clamped.
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