What is gastrectomy?
A gastrectomy is major surgery, done under general anesthesia. Generally, a total gastrectomy is indicated for advanced stomach cancer and partial gastrectomy for cancer in an advanced stage than an ulcer or anti-ulcer medication resistant. After total gastrectomy, the surgeon restores digestive circuit by combining the esophagus with jejunum (the second part of the small intestine). The food then passes directly into the intestine. Partial gastrectomy removes only the antrum (bottom) of the stomach, or the lower two-thirds or even four-fifths ; surgeon makes an anastomosis between the rest of the organ and duodenum (first part of the small intestine) or a loop of jejunum, stomach portion destined to be related to gut , the previously narrowed in order to avoid too rapid emptying of the stomach (syndrome jejunal flooding). In ulcers, gastrectomy is associated with a pneumogastric nerve sectioning (truncal vagotomy).
What kind of operations can be done on stomach? Types of gastrectomy.
Depending on several factors (the way of disease, the extent of the lesion, the patient, associated diseases, intraoperative situation, etc.), you can have these types of gastric resections:
- Total gastrectomy : removing the entire stomach
- Subtotal gastrectomy : removal of part of the stomach (1/2, 1/3. 2/3. 3/4, etc.)
- Sectioning gastrectomy: associated with sectioning some of the nerves that control the secretion of stomach (vagotomy).
After the surgeon has removed a part of the stomach, it anastomoses with the remaining part of the digestive system (duodenum and small intestine), anastomosis can be terminal-to terminal or terminal-end-to-side , gastric abutment anastomoses with a part of the side wall of the intestine .
-Bleeding with different locations: inside the stomach ,on surgery line or neighborhood ; bleeding from outside the operating line, or along the drain or scar where the drain was;
- detachment of surgical stitch;
- Internal or external fistulas with clear or yellow drain, bleeding on area where the drain was;
- Vomiting food
- acute pancreatitis, or organ damage nearby
Digestive endoscopy is a procedure that allows the physician to explore investigation inside the esophagus, stomach and the first part of the small intestine (duodenum) through a thin, flexible instrument equipped with a optical device, which is called the endoscope. This type of endoscope is inserted through the mouth and neck slightly forward, until it reaches the esophagus, stomach and duodenum . This investigation is sometimes called EGD Test (Esophagogastroduodenoscopy) because the entire upper digestive tract is examined through it. With endoscopy may be collected tissue (biopsy) may be removed polyps and treat bleeding from the digestive tract level. Endoscopy can reveal problems that are not discovered using radiology and sometimes can be helpful in eliminating the need for exploratory surgery. The patients are sedated during the procedure so that the level of discomfort is minimal.
Diet after stomach surgery, gastrectomy:
Although the gastrectomy operation solved a problem, other problems may occur – that require some type of eating behavior. In principle, patients who had surgery for stomach should avoid: abundant meals, food too hot or too cold, carbonated drinks, alcohol, cola , too sweet foods, spices, fried food, uncooked fruits and vegetables, animal fats.
This blog post is an educational resource only and does not replace a medical consultation with a doctor .
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