. Modern surgery, general and operative. Fig. 766.—Ma3os method of gastro-enterostomy: Showing posterior wall of the stomachdrawn through a rent in the transverse mesocolon. Note slight separation of gastrocolic omen-tum from its attachment to the stomach, permitting anterior wall of stomach to appear, andinsuring drainage at lowermost level. Black lines mark site of proposed anastomosis; thejejunum shows at its origin. the redundant posterior mucous membrane. The holding clamps are appliedsufficiently tight to check hemorrhage and prevent extravasation of intestinalcontents. The Xo-Ioop Opera
. Modern surgery, general and operative. Fig. 766.—Ma3os method of gastro-enterostomy: Showing posterior wall of the stomachdrawn through a rent in the transverse mesocolon. Note slight separation of gastrocolic omen-tum from its attachment to the stomach, permitting anterior wall of stomach to appear, andinsuring drainage at lowermost level. Black lines mark site of proposed anastomosis; thejejunum shows at its origin. the redundant posterior mucous membrane. The holding clamps are appliedsufficiently tight to check hemorrhage and prevent extravasation of intestinalcontents. The Xo-Ioop Operation of the jMayos for Gastro-enterostomy 1241 {d) The hgament of Treitz is a short muscular mesentery covered by avariable peritoneal fold (,too variable for a reUable landmark) extending upwardfrom the origin of the jejunum on to the mesocolon. This peritoneal fold Hesat the base of the arterial loop of the middle colic artery which supplies the. Fig. 767.—Mayos method of gastro-enterostomy: Forceps in place and anastomosis completed by suture. transverse colon. The mesocolon is opened within the vascular loop and theposterior inferior border of the stomach pushed through. A small separationof the greater omental attachment to the stomach enables the anterior gastric
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