Gastrectomy is most often done to treat
It is currently the only way to cure stomach cancer. The use of
after surgery may help improve survival. Even if the cancer is too advanced to be cured, gastrectomy can help to prevent bleeding, obstruction, and pain.
In addition to treating stomach cancer, this surgery may also be done to treat:
Benign tumors in the stomach
If you are planning to have gastrectomy, your doctor will review a list of possible complications, which may include:
Damage to nearby organs
Leaking from the new connection between the stomach, intestine, and/or esophagus
Hernia formation at the incision site
Reaction to anesthesia
Factors that may increase the risk of complications include:
Showering the night before your surgery using antibacterial soap
Arrange to have someone drive you to and from the hospital. Also, arrange for someone to help you at home.
Eat a light meal the night before the surgery. Do not eat or drink anything after midnight.
will be used. It will block any pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.
Description of the Procedure
The doctor will make an incision in your abdomen. Next, she will use surgical instruments to remove all or part of your stomach. If only part of your stomach is removed, it is called partial gastrectomy. With this type of surgery, the doctor will connect the remaining part of your stomach to your esophagus and small intestine.
If this is done for ulcer disease, the nerves that control acid production may also be cut. If all of your stomach is removed, it is called total gastrectomy. The doctor will attempt to make a new “stomach” using your intestinal tissue. The end of your esophagus will be attached to your small intestine.
If you have stomach cancer, the doctor will likely remove and examine lymph nodes as well. This is because cancer can spread through your lymphatic system.
After the surgery is complete, the doctor will close the muscles and skin of the abdomen with stitches or staples. Lastly, she will apply a dressing.
How Long Will It Take?
1-3 hours (or longer)
How Much Will It Hurt?
You will have pain during recovery. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
This surgery is done in a hospital setting. The usual length of stay is 6-12 days. Your doctor may choose to keep you longer if complications arise.
Your doctor will give you guidelines on:
When and what you can eat
How you need to restrict your activity
During the first few days after surgery, you may be restricted from eating. As your stomach stretches during recovery, you will be able to eat more at a time.
If you had a total gastrectomy, you will need to eat smaller amounts of foods more often.
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a