esophagojejunostomy
Pronunciation: ee-SOF-ah-go-jeh-JOO-nos-toh-mee
A surgical connection between the esophagus and jejunum, sometimes used in bariatric revision procedures.
Full Definition
Esophagojejunostomy is the creation of a surgical anastomosis between the esophagus and jejunum, bypassing the stomach entirely. In bariatric surgery, this technique may be employed in complex revision cases where the stomach must be completely excluded due to severe complications such as irreparable gastric necrosis or intractable leak. This procedure results in significant malabsorption and requires lifelong nutritional supplementation. It is considered an extreme measure with substantial morbidity and is reserved for cases where conventional bariatric revision options have been exhausted.
Usage
Usage note: Used in extreme revision cases; not a primary bariatric procedure.
In Context
- "Following gastric necrosis, the surgeon performed an esophagojejunostomy to restore alimentary continuity." — Operative report