Understanding Gastrectomy Surgery

What is a Gastrectomy?

A gastrectomy is a surgical procedure that involves removing all or part of the stomach. This major operation may be necessary to treat various conditions, including stomach cancer, severe ulcers, or other serious stomach diseases.

Types of Gastrectomy

Total Gastrectomy

• Complete removal of the stomach
• Esophagus is connected directly to small intestine
• Usually performed for extensive stomach cancer

Partial Gastrectomy

• Removal of a portion of the stomach
• Can be either:
  • Distal gastrectomy (lower part removed)
  • Proximal gastrectomy (upper part removed)

Why is it Performed?

• Cancer Treatment: Most common reason, especially for stomach cancer
• Severe Ulcers: When medication and other treatments fail
• Bleeding: For uncontrollable stomach bleeding
• Precancerous Conditions: To prevent cancer development

The Procedure

Before Surgery

1. Complete medical evaluation
2. Specific dietary instructions
3. Medication adjustments
4. Fasting for 8-12 hours before surgery

During Surgery

• Performed under general anesthesia
• Can be done through:
  • Open surgery (large incision)
  • Laparoscopic surgery (smaller incisions)
• Takes 2-5 hours depending on complexity

Recovery and Aftercare

Hospital Stay

• Typically 5-10 days
• Monitoring for complications
• Gradual return to eating

Lifestyle Changes

• Eating smaller, more frequent meals
• Avoiding certain foods
• Taking prescribed supplements
• Regular follow-up appointments

Potential Complications

• Infection
• Bleeding
• Digestive issues
• Nutritional deficiencies
• Dumping syndrome

Long-term Outlook

Most patients adapt well to life after gastrectomy with proper dietary and lifestyle modifications. Regular medical follow-up is essential for monitoring nutrition and addressing any concerns.

When to Seek Medical Help

Contact your healthcare provider if you experience:

• Severe abdominal pain
• Persistent vomiting
• Fever
• Difficulty swallowing
• Unexpected weight loss