Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

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What is the purpose of an antrectomy or gastroenterostomy?

  1. To create a new gastric outlet

  2. To remove the pancreas

  3. To resect the bowel

  4. To repair a hernia

The correct answer is: To create a new gastric outlet

The purpose of an antrectomy or gastroenterostomy is primarily to create a new gastric outlet. In these procedures, the goal is often to alleviate issues such as gastric outlet obstruction or to create a bypass around a non-functional or diseased part of the stomach. An antrectomy involves the surgical removal of the antrum, which is the lower portion of the stomach. This procedure can help in cases where there are problems with gastric emptying, often due to conditions such as peptic ulcers or obstructive lesions. By removing this part of the stomach, the surgical approach allows for better passage of food into the small intestine. In gastroenterostomy, the surgeon creates a connection between the stomach and the jejunum (a part of the small intestine), enabling food to bypass the obstructed or damaged part of the stomach. This effectively facilitates a new pathway for gastric contents to enter the digestive tract, reducing symptoms caused by obstruction or malignancy. Other options address different surgical procedures that do not align with the purpose of creating a new gastric outlet. For instance, the removal of the pancreas pertains to procedures like a pancreatectomy, resecting the bowel involves surgical removal of sections of the intestines, and hernia repairs focus on restoring