Operative Report

Preoperative Diagnosis:
Bleeding gastric ulcer

Postoperative Diagnosis:
Bleeding gastric ulcer

Procedure Performed:

1. Open Hemigastrectomy
2. Open Billroth II Anastomosis (Gastro-jejunal bypass)

Description:
An open hemigastrectomy was conducted to remove the portion of the stomach affected by the bleeding gastric ulcer. Following resection of the portion of ulcerated stomach, a Billroth II anastomosis was performed to create a direct connection between the remaining stomach and the jejunum, restoring gastrointestinal continuity.

Discharge Summary

Hospital Course

The patient was transferred from facility A, where he experienced 12 hours of hematemesis requiring transfusions with 14 units of red blood cells and 6 units of fresh-frozen plasma. 

Upon admission to facility B, a gastroscopic diagnostic examination revealed a 4- by 2-centimeter gastric ulcer with visible vessels and bleeding. 

He was then taken to the operating room, where a open hemigastrectomy was performed. In addition, an open Billroth II anastomosis (bypass) from the stomach to the jejunum was performed.

He continued on iron supplements for continued treatment of acute blood loss anemia.