CPT® Code 43840

Gastrorrhaphy, as defined by CPT® Code 43840, refers to the surgical procedure involving the suturing of a perforated duodenal or gastric ulcer, wound, or injury. This procedure is typically indicated when there is a breach in the wall of the stomach or duodenum, which can lead to serious complications such as peritonitis due to the leakage of gastric contents into the abdominal cavity. The surgical approach begins with an incision in the midline of the abdomen, allowing for exploration of the abdominal cavity. During this exploration, any adhesions that may be present are lysed, facilitating access to the stomach and duodenum. Once the perforation is located, the surgeon closes the defect in a layered manner using sutures, which is crucial for ensuring the integrity of the gastrointestinal tract. In cases where the perforation results from a penetrating injury, a thorough examination of the abdominal contents is performed to rule out additional damage to surrounding organs, blood vessels, or nerves. The procedure also involves flushing the abdominal cavity with sterile saline to clear any gastric fluids, blood, or debris that may have spilled into the area. Finally, drains may be placed as necessary to manage any potential fluid accumulation, and the abdominal wall is closed in layers to promote proper healing.