Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

In a total gastrectomy, what procedure is necessary when a loop of jejunum is anastomosed end to side with the esophagus?

1. Jejunoileostomy

2. Jejunostomy

3. Jejunojejunosotomy

4. Gastrojejunostomy

The correct answer is: Jejunojejunosotomy

In the context of a total gastrectomy, where the stomach is completely removed, the continuation of the gastrointestinal tract is achieved by connecting the remaining esophagus to the jejunum. When a loop of jejunum is joined end to side with the esophagus, a jejunojejunosotomy is performed if there's a need to modify the jejunal loop for proper continuity and functionality. The jejunojejunosotomy allows for the creation of an anastomosis between two segments of the jejunum. This procedure is essential for facilitating the flow of intestinal contents when there is a reconnection of the small bowel after a total gastrectomy. It maintains the continuity of the digestive system, enabling the movement of food from the ileum towards the new connection site with the esophagus. In contrast, the other procedures listed serve different purposes. A jejunoileostomy involves creating an anastomosis between the jejunum and the ileum, while a jejunostomy refers to creating an opening from the jejunum to the outside of the abdomen. Gastrojejunostomy is a procedure where the stomach is connected to the jejunum, which does not apply in the case of total gastrectomy. Therefore, the need to reest