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Other operations on the stomach: Inspection after stomach resection: Conversion of a gastric sleeve to a single-anastomosis gastric bypass by transection and blind closure of the gastric sleeve and Billroth II gastrojejunostomy: Laparoscopic

You had a stomach bypass operation. In the process the size of your stomach was reduced once more.

The stomach is located in the upper abdomen. The stomach has a curved shape, and is connected to the gullet (oesophagus) at its upper end and with the first part of the small intestine at its lower end. Between the stomach and the small intestine is a ring-shaped valve, the pylorus. The inside of the stomach is lined with mucous membrane.

You had surgery in the past which reduced the size of your stomach. In the process your stomach was made into a sort of sleeve. This is also known as a gastric sleeve. The aim of this type of surgery is to reduce the capacity of the stomach. Then less food can be eaten than before. The aim of gastric bypass surgery is to reduce the capacity of the stomach still further. Then less food can be eaten than before. The surgery should also result in you absorbing fewer nutrients from your food.

The surgery involved severing your gastric sleeve so that it is divided into a large lower section and a small upper section. The large lower part was stitched up and left. No more food will get to it. The small upper part is your gastric pouch. It was stitched to a site in the mid-section of your small intestine.

Post-surgery, the food now goes from your small gastric pouch straight to the mid-section of your small intestine. Food no longer passes through the top section of your small intestine or the major part of your stomach. However, the digestive juices from the liver and pancreas flow into this section of your small intestine. The digestive juices initially then mix with the food in the mid-section of your small intestine.

A laparoscopy was carried out so that you could be operated on. A laparoscopy first involves making a small incision in the abdomen. A tube with a camera is pushed through this incision into the abdomen. This camera sends pictures of the inside of the abdomen to a screen. Tools such as forceps and scissors can be inserted through other small incisions in the abdomen.

Additional indicator

If necessary, additional letters are appended to OPS codes to indicate which side of the body is affected.

  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

Your doctor will assist you with any health-related questions and explain the OPS code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).