Professional
Technical
IVT
antecolic
Surgical routing of bowel anastomosis in front of the transverse colon, commonly used in gastric bypass procedures.
Full Definition
Antecolic refers to the anatomical routing of the Roux limb anterior to (in front of) the transverse colon and its mesentery during gastric bypass surgery. This approach contrasts with retrocolic routing and may reduce the risk of internal hernias but can create tension on the gastrojejunal anastomosis. The choice between antecolic and retrocolic routing depends on surgeon preference and patient anatomy.
Usage
Usage note: Often paired with 'antegastric' to describe the complete routing path.
In Context
- "The Roux limb was brought up in an antecolic, antegastric fashion." — operative report
- "Antecolic routing may reduce internal hernia risk compared to retrocolic approaches." — surgical literature
Also known as
anterior to colon
Contrasted with
retrocolic
Don't confuse with
retrocolic
mesocolic