Question

A client has been diagnosed with adenocarcinoma of the stomach and is scheduled to undergo a subtotal gastrectomy (Billroth II procedure). During pre-operative teaching, the nurse is reinforcing information about the procedure. Which of the following explanations is most accurate? a. The procedure will result in repositioning of the vagus nerve b. The procedure will result in enlargement of the pyloric sphincter c. The procedure will result in anastomosis of the gastric stump to the jejunum d. The procedure will result in removal of the duodenum - Given

Answer 1

The Billroth II procedure involves attaching the remaining section of the stomach to the jejunum after a part of the stomach has been removed, bypassing the pyloric sphincter and duodenum, for treatment of adenocarcinoma.

Step-by-step explanation:

A subtotal gastrectomy, or Billroth II procedure, is a type of surgery often used to treat stomach adenocarcinoma. The most accurate description of what this procedure entails is the anastomosis of the gastric stump to the jejunum

The procedure will result in anastomosis of the gastric stump to the jejunum. During this procedure, a part of the stomach is removed, leaving a gastric stump that is then attached to the jejunum. This allows for the continued passage of food from the stomach to the small intestine, while bypassing the removed portion of the stomach.

(option c). This means that the remaining part of the stomach after the cancerous cells have been removed, also referred to as the gastric stump, is connected directly to the jejunum, which is part of the small intestine. The pyloric sphincter and duodenum are bypassed in this procedure. The aim of this surgery is to remove the tumor and create a new digestive pathway.

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