Heineke-Mikulicz Operation for Pyloric Stenosis
The Heineke-Mikulicz operation is a surgical procedure specifically designed to relieve obstructions caused by narrowing of a tubular structure.
Purpose: This technique is primarily employed to correct pyloric stenosis. In this condition, the pylorus, the muscular passage connecting the stomach to the small intestine, becomes excessively thickened and narrowed, impeding the flow of food.
Mechanism: The operation involves making a longitudinal incision through the constricted pyloric region, followed by a transverse closure of the incision. This method effectively widens the narrowed pyloric channel, restoring adequate passage.
Differential Diagnosis: While it addresses narrowings, this specific operation is not indicated for strictures of the ureter, urethra, or common bile duct.
Important Questions from Stomach
- A 50 year old male patient presents to the emergency with sudden onset of upper abdominal pain, nausea, vomiting and haematemesis. On examination, PR = $106/min$, BP = $100/70$ mm Hg and pallor is present. CECT abdomen reveals a large exophytic tumor of size $13 \times 8$ cm at the fundus of the stomach. On upper GI endoscopy, the mucosa overlying the tumor is intact. The staining for CD117 in the upper GI endoscopic biopsy is positive. The most probable clinical diagnosis in this patient is
- The most common metabolic abnormality associated with gastric outlet obstruction is
- Which of the following statements about peptic ulcers is correct?
- A 50 year old male patient presents to the emergency with sudden onset of upper abdominal pain, nausea, vomiting and haematemesis. On examination, PR = $106$/min, BP = $100/70$ mm Hg and pallor is present. CECT abdomen reveals a large exophytic tumor of size $13 \times 8$ cm at the fundus of the stomach. On upper GI endoscopy, the mucosa overlying the tumor is intact. The staining for CD117 in the upper GI endoscopic biopsy is positive. The most probable clinical diagnosis in this patient is
- A gentleman of 36 years presented with a long history of upper abdominal pain which was periodic and often occurred early morning. For last 3 months, he is having projectile vomiting, which is non bilious, unpleasant in nature with undigested food materials. On examination he appears unwell, dehydrated and seemed to have lost weight. Probably he is suffering from:
