Stomach resection

Gastric resection is a surgical procedure that involves removing the affected part of the organ, followed by restoring the integrity of the digestive system. Most often, surgical intervention is performed when dangerous diseases such as tumors occur. A severe degree of peptic ulcer disease is a serious indication for laparoscopic gastric resection. The surgery is performed under general anesthesia. Its duration is from one and a half to three hours. Sleeve gastrectomy (longitudinal resection of the stomach) is prescribed to patients with a high degree of obesity. This operation is used to reduce the volume of the organ.

Types of Gastric Resection:

• Economical (wedge) resection, where no more than one-third of the organ is removed;

• Typical (large) resection with removal of two-thirds of the stomach;

• Subtotal resection with excision of 4/5 of the organ;

• Total resection, where about 90% of the stomach is removed.

The doctor makes the decision on this matter, considering the indications and the location of the pathology.

What You Need to Know About Gastrectomy

Gastrectomy is a surgical operation involving the complete removal of the stomach and the creation of an esophago-intestinal anastomosis.

Indications for Gastrectomy:

• Malignant tumors (cancer) – the main indication;

• Diffuse polyposis (multiple polyps throughout the stomach lining);

• Chronic peptic ulcer disease with bleeding;

• Perforation of the stomach wall;

• Extreme degree of obesity.

However, considering potential blood loss, prolonged anesthesia, and the extensive scope of the intervention, stomach removal surgery has contraindications. The patient's severe condition, cancer with multiple metastases, decompensation of the cardiovascular and pulmonary systems, and blood clotting problems are the main ones.

Important: Preparation for surgery requires a thorough patient examination, including the treatment of concomitant diseases.

Given the seriousness of the surgical intervention, it is worth noting that the risk of complications is quite high. Among the most probable consequences of gastrectomy are anemia, weight loss, bleeding, tumor recurrence, and reflux esophagitis.

Stomach Removal Surgery: Preparation

Before a planned operation, the patient needs consultations with several specialists (therapist, endocrinologist, cardiologist, etc.). If chronic diseases are present, doctors will adjust the treatment regimen, which will allow the patient to safely tolerate the operation itself and the anesthesia. Complications after gastric resection are managed by the surgeon.

In addition, before the operation, the patient needs to undergo a complete blood count and biochemistry, urinalysis, fluorography and ECG, ultrasound of the abdominal cavity, MRI of the affected area, and fibrogastroscopy with biopsy.

On our website, https://dobrobut.com/, complete information on the topic is presented. By calling the numbers listed above, you can schedule a consultation and, if necessary, undergo a full course of examination.

Laparoscopic Gastric Resection: Course of the Operation

Considering the fact that the operation is mostly performed for oncology, let's consider this specific variant.

Stomach removal surgery is performed under general anesthesia. The average duration is from two to five hours. A urinary catheter is inserted for the duration of the procedure.

After the patient is put under anesthesia, the surgeon makes a relatively large incision (for full access to the affected area) and inspects the organs. During gastrectomy, the entire stomach, its ligaments, both omenta, adipose tissue, and lymph nodes are removed. In some cases, resection of the pancreas, liver, and spleen may be performed. The next stage is the rejoining of the small intestine to the esophagus.

This operation is considered particularly traumatic, with a high risk of developing complications. Pain after stomach removal usually disappears within a month.

Consequences of Gastrectomy

• Reflux esophagitis is inflammation of the esophagus when food from the intestine enters it. It manifests as pain, heartburn, and nausea.

• Anemia is associated with possible bleeding during the operation and subsequent low hemoglobin.

• Manifestations of dumping syndrome include sweating, dizziness, and tachycardia. Single episode vomiting after eating is possible. In such a case, adherence to a diet after stomach removal is important.

Features of the Postoperative Period

Eating and drinking are strictly forbidden on the first day. On the third day, the patient is offered a small amount of water and liquid food. If everything went well and the intestine began to function, the diet is gradually expanded. Liquid soups, well-cooked mushy porridge, and pureed dishes are recommended. Eating should be in small portions 6-8 times a day. Prunes, cooked beets, and fermented milk products are recommended to regulate bowel function. Special attention should be paid to rehabilitation after stomach removal.

Prognosis After Stomach Removal Surgery

Life expectancy after stomach removal largely depends on the cause that led to the operation, the patient's general condition, the presence or absence of complications, recurrence, etc. It should not be concealed that the patient will need to make every effort to maintain the body in the postoperative period. Adherence to the doctor's recommendations and diet is of great importance. There is no single answer to the question, "how long do people live after stomach removal?"

Disability: In 95% of cases, patients receive Group I or II disability after gastrectomy.

Finally, it is necessary to remind you that after such a serious operation, the patient needs to maintain close contact with the doctor. Consultations, examinations, and preventive measures will help preserve your health.

Our medical center provides services for the support of patients who have undergone serious surgical operations. Qualified doctors will answer all your questions and help you understand unclear situations. Come at any time and call the numbers listed above – we know how to help you.