Gastric resection surgery: indications and features of the procedure
Gastric resection is an operation to remove the affected part of the organ with subsequent restoration of the integrity of the digestive system. Most often, surgical intervention is performed in the event of dangerous diseases such as tumors. Severe peptic ulcer disease is a serious indication for laparoscopic gastric resection. The operation is performed under general anesthesia. It lasts from one and a half to three hours. Longitudinal gastric resection is prescribed for patients with a high degree of obesity. This operation is used to reduce the volume of the organ.
Types of gastric resection:
- economical, in which no more than a third of the organ is removed;
- typical (large) with removal of two-thirds of the stomach;
- subtotal with excision of 4/5 of the organ;
- total, in which about 90% of the stomach is removed.
The decision in this matter is made by the doctor, taking into account the indications and location of the pathology.
What you need to know about gastrectomy
Gastrectomy is a surgical operation with complete removal of the stomach and the imposition of a gastrointestinal anastomosis.
Indications for gastrectomy
- malignant tumors are the main indication;
- diffuse polyposis (multiple polyps throughout the gastric mucosa);
- chronic peptic ulcer with bleeding;
- perforation of the stomach wall;
- extreme obesity.
However, given the possible blood loss, prolonged anesthesia and large volume of intervention, gastric surgery is contraindicated. The patient's serious condition, cancer with multiple metastases, decompensation from the cardiovascular system and lungs, and blood clotting problems are the main ones.
Important: Preparation for surgery requires a thorough examination of the patient, including treatment of concomitant diseases.
Given the seriousness of the surgery, it is worth noting that the risk of complications is quite high. Among the most likely consequences of gastrectomy are anemia, weight loss, bleeding, tumor recurrence, and reflux esophagitis.
Gastrectomy: preparation
Before a planned operation, the patient needs to consult a number of specialists (therapist, endocrinologist, cardiologist, etc.). In the presence of chronic diseases, doctors will adjust the treatment regimen, which will allow the patient to safely undergo the operation and anesthesia. The surgeon is responsible for treating complications after gastric resection.
In addition, before the operation, the patient needs to undergo a complete blood count and biochemistry, urinalysis, fluoroscopy and ECG, abdominal ultrasound, MRI of the affected area and fibrogastroscopy with biopsy.
Our website https://dobrobut.com/ provides complete information on the topic. By calling the above numbers, you can make an appointment for a consultation and, if necessary, undergo a full course of examination.
Laparoscopic gastric resection: the course of the operation
Given the fact that the operation is mostly performed in case of oncology, let's consider this option.
The operation to remove the stomach is performed under general anesthesia. The average duration is from two to five hours. During the procedure, a urinary catheter is inserted into the patient.
After putting the patient under anesthesia, the surgeon makes a large enough incision (for full access to the affected area) and examines the organs. During a gastrectomy, the stomach is removed in its entirety, its ligaments, both omentums, fatty tissue and lymph nodes. In some cases, the pancreas, liver and spleen may be resected. The next step is to reunite the small intestine with the esophagus.
This operation is considered particularly traumatic, with a high risk of complications. Pain after gastrectomy usually disappears within a month.
Consequences of gastrectomy
Reflux esophagitis is an inflammation of the esophagus when food from the intestines enters it. It is manifested by pain, heartburn and nausea.
Anemia is associated with possible bleeding during surgery and, as a result, low hemoglobin.
Manifestations of dumping syndrome include sweating, dizziness, and tachycardia. One-time vomiting after eating is possible. In this case, it is important to follow a diet after gastric removal.
Features of the postoperative period
On the first day, eating and drinking are strictly prohibited. On the third day, the patient is offered a small amount of water and liquid food. If everything went well and the intestines began to function, the diet is gradually expanded. Liquid soups, porridge, and mashed dishes are recommended. You can eat in small portions 6-8 times a day. Prunes, boiled beets, and fermented dairy products are recommended to regulate bowel function. Special attention should be paid to rehabilitation after stomach removal.
Prognosis after gastric bypass surgery
The life expectancy after gastric removal largely depends on the cause that led to the operation, the general condition of the patient, the presence or absence of complications, relapse, etc. It should not be hidden that the patient will need to make every effort to maintain the body in the postoperative period. It is important to follow the doctor's recommendations and diet. There is no definite answer to the question “how long do people live after gastric removal?”.
Disability: in 95% of cases, patients after gastrectomy receive group I or II disability.
Finally, it is necessary to remind that after such a serious operation, the patient needs to maintain close contact with the doctor. Consultations, examinations, and preventive measures will help maintain your health.
Our medical center provides support services for patients who have undergone major surgery. Qualified doctors will answer all your questions and help you understand unclear situations. Come anytime and call the above numbers - we know how to help you.
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