Figure 5 - uploaded by Ali Alsulihem
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Tubularized gastric channel. (a) An 11 cm segment based on the right gastroepiploic vessels in the greater curvature is selected, and the distal end is maintained at least 3-4 cm proximal to the pylorus. (b) The left gastroepiploic vessels are divided at the proximal end of the segment, followed by division of the omentum at the same level. Then, a small gastrotomy is made on both ends of the segment, a 12 F catheter is passed, and a bowel clamp is applied just superior to the catheter. The segment is divided just beneath the clamp to isolate it from the stomach, and the stomach is closed with 3-0 silk sutures in two layers. (c and d) Alternatively, the same stomach segment can be taken by using a gastrointestinal anastomosis stapler
Source publication
Multiple techniques for the creation of continent catheterizable channels have been reported. Several continence mechanisms have been used, including tunneled flap valves, nipple valves, and hydraulic valves. Moreover, several organs have been used, including the appendix, bowel, ureters, and bladders. In this review, we describe various techniques...
