Treatment

Gastrectomy

Overview

Gastrectomy is a surgical removal of the stomach or a part of it. This procedure is done to treat conditions such as stomach cancer, ulcers and severe obesity. Depending on the extent of removal, it can be classified as total gastrectomy (complete stomach removal), partial gastrectomy (removing a part of the stomach) or subtotal gastrectomy (removing most of the stomach but leaving a small portion).

Why Gastrectomy is Required?

A gastrectomy may be recommended for various medical reasons, including:

• Stomach cancer: To remove cancerous tissues.
• Severe ulcers: If they do not heal with medication.
• Obesity treatment: As part of weight loss surgery.
• Benign tumors or polyps: Non cancerous growths affecting digestion.
• Severe stomach injury: If the stomach is damaged beyond repair.

Key Advantages of Gastrectomy

Undergoing gastrectomy treatment can offer several benefits, including:

• Eliminates cancerous or damaged tissues from the stomach.
• Can improve quality of life by reducing pain and discomfort.
• Aids in weight loss for people with severe obesity.
• Helps in preventing life threatening complications like internal bleeding from ulcers.
• Improves digestion for those with severe gastric conditions.

How Should You Prepare Yourself Before Taking Gastrectomy Treatment?

• Medical evaluation: Doctors will conduct tests like endoscopy, CT scans and blood work.
• Dietary changes: You may need to switch to a liquid diet before surgery.
• Stop smoking and alcohol: These can slow healing after surgery.
• Medication adjustments: Some medicines might need to be paused before surgery.
• Plan for recovery: Arrange for help at home and stock up on easy to digest foods.

How Gastrectomy is Performed?

A gastrectomy is usually done in two ways:

• Open Surgery: A large cut is made in the abdomen to access and remove the stomach.
• Laparoscopic (Minimally Invasive) Surgery: Small incisions are made and a tiny camera guides the surgery.

The type of surgery depends on your health condition and the reason for stomach removal.

What You Can Expect?

1. Before the Procedure

• Fasting for 8-12 hours before surgery.
• Hospital admission and pre surgery medications.
• Anesthesia is given to put you to sleep.

2. During the Procedure

• Partial Gastrectomy: Only a section of the stomach is removed.
• Total Gastrectomy: The entire stomach is removed and the esophagus is connected to the small intestine.
• Surgery may take 2-5 hours depending on complexity.

3. After the Procedure

• Hospital stay for about 1-2 weeks for recovery.
• Liquid diet initially followed by soft foods.
• Gradual return to solid foods under a doctor’s guidance.
• Nutritional supplements may be required as the body adjusts.

Risk and Potential Complications

While gastrectomy treatment is generally safe potential risks include:

• Infection at the surgical site.
• Bleeding during or after surgery.
• Digestive issues such as diarrhea or difficulty absorbing nutrients.
• Weight loss and weakness due to reduced food intake.
• Dumping syndrome, a condition where food moves too quickly into the small intestine, causing nausea and dizziness.
• Vitamin deficiencies (especially Vitamin B12) requiring lifelong supplements.

Results/Outcomes

• Cancer treatment success: If done for cancer it can significantly improve survival rates.
• Weight management: Effective for obesity-related cases.
• Improved quality of life: Relief from severe ulcers and digestive discomfort.
• Long term adaptation: While life without a stomach is different, people can still eat and live normally with dietary modifications.