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Surgery Stomach and duodenum Dr. T. Galdona PA-C
Stomach  Anatomy and function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Anatomy and function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach  Anatomy and function ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach anatomy
Stomach anatomy
Stomach Anatomy and function ,[object Object],[object Object]
Stomach  Anatomy and physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach  Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HCL secretion
Stomach Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign gastric Diseases ,[object Object],[object Object],[object Object],[object Object]
Stomach PUD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach PUD ,[object Object],[object Object],[object Object],[object Object]
Stomach  PUD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach  PUD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Treatment Truncal Vagotomy -- Antrectomy &  Billroth I Anastomosis
Surgical Treatment Truncal Vagotomy -- Antrectomy &  Billroth II Anastomosis
Surgical Treatment Truncal Vagotomy -- Antrectomy &  Roux-en-Y Anastomosis
Stomach ADC of stomach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach ADC of stomach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach ADC of stomach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach ADC of stomach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach ADC of stomach ,[object Object],[object Object]
Stomach Gastric lymphoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach GI stromal TU (GIST) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach GI stromal TU (GIST) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach  Postgastrectomy Syndromes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Early Dumping Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Early dumping syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dumping syndrome
Stomach Late dumping syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Late Dumping syndrome ,[object Object],[object Object],[object Object],[object Object]
Stomach Postvagotomy Diarrhea ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Afferent loop Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Afferent loop obstruction
Stomach Afferent Loop Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Blind Loop Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Blind Loop Syndrome ,[object Object],[object Object],[object Object],[object Object]
Stomach Recurrent Ulcer Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Gastric Atony ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Acute Gastritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Acute Gastritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Stress gastritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Stress gastritis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Gastric regulation
Erosive gastritis
Stress ulcer
Erosive gastritis
Hemorrhagic gastritis
PUD
Stomach  Hypertrophic Gastritis (Menetrier’s Ds) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Mallory- Weiss syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Mallory- Weiss syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mallory-Weiss Tear
Mallory –Weiss Tear
Stomach Mallory-Weiss syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Mallory-Weiss syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Gastric polyps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Bezoar ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fabric Bezoar
Stomach Bezoar
Duodenum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Duodenum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Duodenum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perforated duodenal ulcer with visible vessel ulcer Visible vessel
Perforated duodenal ulcer
PUD
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Benign duodenal ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duodenal vs Gastric ulcer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Treatment Truncal Vagotomy -- Heineke-Mikulicz Pyloroplasty
Selective Vagotomy & Heineke-Mikulicz Pyloroplasty
Proximal Gastric Vagotomy
Massive Gastric Hemorrhage
Perforated Prepyloric Ulcer
Perforated Prepyloric Ulcer
Duodenal Ulcer
Duodenal Ulcer Penetrating into pancreas
Stomach Duodenal polyps ,[object Object],[object Object],[object Object],[object Object],[object Object]
Duodenal polyp
Stomach and duodenal polyps
Duodenal polyp
Duodenal polyposis
Duodenal polyps
Stomach polyps
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stomach Zollinger- Ellison Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
ZES Jejunal Ulcer
ADC of Duodenum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADC of Duodenum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Duodenal Lymphoma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Figures 1 A and B: CT scan (with contrast) of the abdomen and pelvis revealing 7cm, ill-defined mass in the pancreatic head region with involvement of the adjacent duodenum, peri-pancreatic adenopathy and mild biliary duct dilatation
Duodenal lymphoma
TNM classification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TNM classification ,[object Object],[object Object],[object Object],[object Object],[object Object]

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