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Gastric bypass proc, dictator says laparoties? nm

Posted By: cc on 2007-12-04
In Reply to:

Subject: Gastric bypass proc, dictator says laparoties? nm




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Rou-en-Y = gastric bypass surgery....
Subject: Rou-en-Y = gastric bypass surgery....

There is also the LAP-BAND (adjustable gastric band) which is the other gastric bypass surgery but the one with the least risks versus the Roux-en-Y.


 



is pt having gastric bypass surgery or had it?
Subject: is pt having gastric bypass surgery or had it?


I work for gastric bypass mds and it's always
Subject: I work for gastric bypass mds and it's always


Does this make sense? Gastric bypass, sm
Subject: Does this make sense? Gastric bypass, sm

I cannot confirm this "type" of trocar. It does not s/l "Veirs"-type trocar to me.

An incision was made above and to the left of the umbilicus, through which a #5/12 Visiport US Surgical trocar was inserted under direct vision into the peritoneal cavity. This was followed by placing another #5/12 trocar in the left upper quadrant. Another #5/12 trocar was placed in the epigastric region to the right of the midline. Another #5/12 trocar _____**s/l "varices"-type trocar was placed between the supraumbilical and the left upper quadrant trocar site. The abdomen was insufflated, and all the trocar sites were placed under direct vision.


a stapler used in a laparoscopic gastric bypass
Subject: a stapler used in a laparoscopic gastric bypass

I'm doing an op note dictated by an ESL and he's referring to a stapler that he's using to create the anastomosis in a laparoscopic gastric bypass.  It sounds something like Acolumn, Ecolint or Acumint stapler.  I'm so stumped and would welcome any hints on how to figure out what the heck he's saying!
s/l ugly stick was angled near the spleen - gastric bypass nm
Subject: s/l ugly stick was angled near the spleen - gastric bypass nm

nm
S/L ? Orville tube or anvil/open gastric bypass (nm)
Subject: S/L ? Orville tube or anvil/open gastric bypass (nm)


I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.
Subject: I'm guessing here - could be - gastric ulcers, gastric erosions, hemorrhages.


CABG PROC
Subject: CABG PROC

Can anyone tell me what these blanks would be, almost sounds like blood but can't tell. Wish these docs would realize most of us never went to medical school...
700 mL of warm ||<________> 10:38 via antegrade cannula. A rapid diastolic ||<________> 10:41 of the heart was achieved. This was followed by a second dose of 700 mL of warm ||<________> 10:45 via the retrograde cannula. This was followed by a third dose of 700 mL of cold ||<________> 10:49 via the retrograde cannula.
Aortoiliac bypass graft versus aortic-iliac bypass graft
Subject: Aortoiliac bypass graft versus aortic-iliac bypass graft

Can someone tell me whether aortoiliac bypass graft or aortic-iliac bypass graft is proper? I seem to find it both ways when I do a Google search.  Is there a difference? 
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm

x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....

.
Axillary-femoral bypass, axillary femoral bypass, or axillofemoral
Subject: Axillary-femoral bypass, axillary femoral bypass, or axillofemoral


is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....

if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too.  Sorry :(
Gastric dye?
Subject: Gastric dye?


gastric atony nm
Subject: gastric atony nm


or even gastric paresis? nm
Subject: or even gastric paresis? nm

s
could it be that he is saying gastric polyposia?
Subject: could it be that he is saying gastric polyposia?


perhaps it is "on gastric"
Subject: perhaps it is "on gastric"

xx
GI help s/l Gastric acne
Subject: GI help s/l Gastric acne

Anyone heard of this?  Thanks for your help


gastric lumen?
Subject: gastric lumen?

n/m
s/l gastric parathesis
Subject: s/l gastric parathesis

s/l gastric perithis or gastric partheis?
shallow gastric ulcer
Subject: shallow gastric ulcer

i just would like to ask about shallow gastric ulcer?? pls.. is there such thing? thank you


gastric insufficiency? merely guessing here
Subject: gastric insufficiency? merely guessing here


Gastric pillar procedure? please sm
Subject: Gastric pillar procedure? please sm

I know there is a pillar procedure for snoring so it does not seem to fit.  This is a patient with esophageal cancer that had this procedure that sounds like gastric bullet procedure. Thanks in advance.


 


maybe borborygmi??? - gastric sounds (nm)
Subject: maybe borborygmi??? - gastric sounds (nm)

x
maybe gastric outlet obstruction? nm
Subject: maybe gastric outlet obstruction? nm


s/l cystic gastric ulcers? Help!
Subject: s/l cystic gastric ulcers? Help!

*nm*


Also used for bedwetting and gastric problems.
Subject: Also used for bedwetting and gastric problems.


Gastric Band type sm
Subject: Gastric Band type sm

PROCEDURE PERFORMED:  Laparoscopic adjustable gastric band with a AP standard S/L INTERMITTENT, ENDOMED or INTUMET band.  But I cannot find any of these listed in my references or on the internet HELP PLEASE!!!! lol


 


gastric emptying study
Subject: gastric emptying study

nm
or fem-pop bypass
Subject: or fem-pop bypass


Fem-pop bypass (sm)
Subject: Fem-pop bypass (sm)

Redo left femoral to baloney popliteal bypass with vein.


 


Anyone hear of baloney?  I can't seem to document.


 


OTHER PROCEDURES:  Femoral artery puncture, aortogram both ___________ s/l chase runoff,


15-cm, self-expanding _________ s/l ED3 or 83 stent.


Thanks!


shallow gastric ulcer - correct
Subject: shallow gastric ulcer - correct


thanks for the confirmation about "shallow gastric ulcer!"
Subject: thanks for the confirmation about "shallow gastric ulcer!"

thanks a lot
s/l gastric grafin enema for partial SBO ...
Subject: s/l gastric grafin enema for partial SBO ...

TIA!
Solu-Medrol for gastric ailments?
Subject: Solu-Medrol for gastric ailments?


Gastric varices or ulcers? Need a better s/l for that "singers" one. nm
Subject: Gastric varices or ulcers? Need a better s/l for that "singers" one. nm

s
s/l naso faco gastric adenoscopy (ESL)
Subject: s/l naso faco gastric adenoscopy (ESL)

She was seen by gastroenterology who performed a s/l nasofacogastric adenoscopy which revealed shallow ulcers of the terminal ileum.
gastric band by Inamed Corp. nm.
Subject: gastric band by Inamed Corp. nm.

x
bypass medication
Subject: bypass medication

The patient had oozing and something used used that sounds like "trazolol"
Bypass shunt?
Subject: Bypass shunt?

.
gigeneral bypass
Subject: gigeneral bypass

Has anyone heard of something that sounds like a "gigeneral bypass" or "digeneral bypass?" 


Thanks so much!


Abby


type of bypass... sm
Subject: type of bypass... sm

Pt's history includes ventriculostomy and ICU care. He subsequently went to Stanford for an *isheoshi* bypass. s/l ish-eee-osh-eee


Thanks for looking!


Bypass medication
Subject: Bypass medication

thank you so much!
Bypass medication
Subject: Bypass medication

Has anyone heard of a med that you would take after gastric bypass that sounds like Sadial 300 mg.
below-knee bypass (nm)
Subject: below-knee bypass (nm)

xx
that should be 320 bifemoral bypass..
Subject: that should be 320 bifemoral bypass..


femorofemoral bypass
Subject: femorofemoral bypass

I found this in Dorland's dictionary

Abby
Patient has recurrent gastric outlet obstruction and ...
Subject: Patient has recurrent gastric outlet obstruction and ...

megagastrium.  Cannot find this anywhere!  Did he make it up?  TIA!!
Gastric banding in patient with hiatal hernia. sm
Subject: Gastric banding in patient with hiatal hernia. sm

The left lobe of the liver was retracted upward. There was an anterior s/l dipple or dimple consistent with a hiatal hernia.