. Operative surgery, for students and practitioners . Fig. 150.—Posterior Gastrojejunostomy (Czerjiy). Upper part of jejunumanastomosed to posterior wall of stomach with Murphy button. C, colon;, great omentum; J., jejunum; P., pancreas; 8., symphysis pubis. OPERATIONS UPON THE SMALL INTESTINE. 327 the stomach is then exposed by tearing through the transverse meso-colon, the edges of the opening in the transverse mesocolon being fixedto the wall of the stomach with several non-penetrating silk distal, lower, end of the divided gut is then lifted up and sewedinto an opening made
. Operative surgery, for students and practitioners . Fig. 150.—Posterior Gastrojejunostomy (Czerjiy). Upper part of jejunumanastomosed to posterior wall of stomach with Murphy button. C, colon;, great omentum; J., jejunum; P., pancreas; 8., symphysis pubis. OPERATIONS UPON THE SMALL INTESTINE. 327 the stomach is then exposed by tearing through the transverse meso-colon, the edges of the opening in the transverse mesocolon being fixedto the wall of the stomach with several non-penetrating silk distal, lower, end of the divided gut is then lifted up and sewedinto an opening made for the purpose in the posterior wall of the. Pig. 151.—Posterior Gastrojejunostomy (Roux). Upper part of jejunumhas been divided and the lower segment sutured into an opening in theposterior wall of the stomach through a hole in the mesocolon. The uppersegment has been sutured into an opening in the side of the lower segment. stomach and the proximal, upper, end of the gut sutured into an open-ing made in the left side of the lower, distal, loop of the gut—the partthat has been sutured to the stomach. The method of uniting the ends of the gut to the edges of theopenings made in the stomach and intestine is similar to that employedin joining the end of the duodenum to the stomach in Pylorectomy(Koeher). (See page 272.) 328 ABDOMEN AND BACK. Finally the cut edges of the mesentery are sutured to the adjacentunderlying mesocolon and mesentery and the operation thus com-pleted. This method provides very excellent drainage for the stomach andis said to eliminate almost positively the danger of regurgitation andvicious circle pheno
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