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Doctor insights on: Total Gastrectomy

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Side effects after total gastrectomy?

Side effects after total gastrectomy?

Dietary: One would need to eat smaller & more frequent meals & chew foods very well as the new intestinal connection or internal intestinal pouch will not be able to hold as much food as a normal stomach. Sometimes a person is checked with blood tests for anemia or b vitamin deficiency. ...Read more

Dr. Elias Chousleb Mizrahi
76 Doctors shared insights

Gastrectomy (Definition)

Gastrectomy means removal of the stomach. This is done for cancer, ischemia, or ulcer disease. One can perform a partial or total gastrectomy, and then the GI tract is reconstructed accordingly. I hope this satisfies ...Read more


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Pain after total gastrectomy for carcinoma stomach?

Pain after total gastrectomy for carcinoma stomach?

Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more

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Abdominal swelling after total gastrectomy?

Abdominal swelling after total gastrectomy?

Depends: It depends how long after gastrectomy. If the swelling happens a few days later, it can be due to infection or bleeding. If it's just mild swelling, sometime it is just due to bloated intestines. If the gastrectomy was several weeks or months ago, the considerations include ascites (abdominal fluid), a hernia, versus tumor regrowth. Talk with your surgeon to learn more. ...Read more

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I'm a very active 31yr male I had a total gastrectomy 2yr ago due too a burst stomach ulcer, im on 12 wk B12 jabs I don't feel it's enough, r 4wkly safe?

I'm a very active 31yr male I had a total gastrectomy 2yr ago due too a burst stomach ulcer, im on 12 wk B12 jabs I don't feel it's enough, r 4wkly safe?

Yes, is enough: After total gastrectomy, B12 is not absorbed by mouth, has to be given by injection, liver will store it for months, you doctor is monitoring you blood B12 levels, every 12 wks is fine. If you take every 4 wks excess is eliminated from body with any harm. ...Read more

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What is involved in an open gastrectomy?

What is involved in an open gastrectomy?

Major surgery: With an open midline abdominal incision & surgery removes some or all of the stomach depending on the reason for the surgery. New connections to the small intestine made. About 5-7 days in the hospital or longer possible depending on the length of surgery & other conditions. Gradual return to smaller quantity of foods at first. ...Read more

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What is the definition or description of: gastrectomy?

What is the definition or description of: gastrectomy?

Stomach removal: Gastrectomy means removal of the stomach. This is done for cancer, ischemia, or ulcer disease. One can perform a partial or total gastrectomy, and then the GI tract is reconstructed accordingly. I hope this satisfies your question. Good luck. ...Read more

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What is a vertical sleeve gastrectomy?

What is a vertical sleeve gastrectomy?

See below: The attached picture is worth 400 characters. The large, floppy, stretchable part of the stomach is removed, leaving a narrowed, cylindrical structure. Best description I heard was from Dr. Nowzaradan who said it goes from the size of a football to the size of a banana. It is a safe and effective operation for weight loss when applied as part of a comprehensive weight loss program. ...Read more

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Tell me about antrectomy or gastrectomy?

Partial: Antrum, fundus, and pylorus are parts of the entire stomach- gastric.
Removal for ulcer or cancer may be all or parts.
Total gastrectomy, partial gastrectomy, antrectomy, and other operations like vagotomy and pyloroplasty are traditional operations for ulcer disease.
More removal is common for cancer. ...Read more

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Who does a gastrectomy for gastroparesis?

Surgeon: It is pretty unusual to perform a gastrectomy for gastroperesis. Another option might be a gastrojejunostomy. This bascially re-routes a piece of small intestine up to the stomach so that food can empty from the stomach more easily. Surgeons, especially minimally invasive or laparoscopic surgeons could help talk about the advantages of each approach. ...Read more

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I'm getting a sleeve gastrectomy and I want to know everything about it.?

Talk to your surgeon: It's the doctor's responsibility to explain it and answer all your questions. ...Read more

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Is the vertical sleeve gastrectomy safe and effective or too experimental?

Safe and effective: Objective data continues to accumulate supporting the laparoscopic vertical sleeve gastrectomy as an effective operation as part of a comprehensive weight loss program. Excess weight loss and improvement in comorbidities is very close to that achieved with gastric bypass. However, as with all such operations, the patient must buy in to significant lifestyle changes to be successful in the long run ...Read more

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I have been advised that I need a partial gastrectomy. Does anyone have any idea what this involves?

Partial Gastrectomy: Gastrectomy is the surgical removal of part or all of the stomach.
In a partial gastrectomy only part of the stomach is removed. If the whole stomach is removed, it is called total gastrectomy. Gastrectomies are usually done to treat tumors (benign or cancerous), chronic ulcers, uncontrollable bleeding, etc. ...Read more

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Where do I go to get a gastrectomy done?

General Surgeon: Usually a general surgeon can performs this surgery. I would ask your primary care physician who they recommend. Sometimes this procedure can be done laparoscopically (the surgeon will make a few small incisions and use a camera for the surgery). However, laparoscopic surgery eligibility is determined case by case, depending on the surgeon's clinical judgement and experience, and even insurance. ...Read more

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Is there any pain involved in a gastrectomy?

Yes: A gastrectomy is a major surgery done through a fair-sized incision. There will be pain afterwards which should completely resolve in 3-4 weeks. Your doctors will be able to order and prescribe pain medication in order to help you control your pain levels. ...Read more

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How much can somebody eat after one year following a vertical gastrectomy?

Opposite: Bariatric and weight loss is all about eating smaller amounts. It is not about the upper limit of how MUCH can you eat. To assist with decreasing your appetite, eating smaller amounts and staying healthy, drink 2 glasses of water before you sit down for dinner, or any meal. Pushing beyond safe limits of oral intake can blow out your gastric sutures with severe illness. Be well. ...Read more

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Not long ago, my grandmother underwent a gastrectomy, since then green secretions pops out of her, why?

Not long ago, my grandmother underwent a gastrectomy, since then green secretions pops out of her, why?

Mouth or scar: If green pops out of her from her mouth then it if from bile. If green pops out of her from her wound then she has a fistula and should see her surgeon. If green pops out of her from a feeding jejunostomy that is no longer used then she has a non closed fistula. Hope this helps. If you have concernsake sure you go to the appointment with your grandmother. ...Read more

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Can a gastrectomy cause dumping syndrome?

Yes: Dumping syndrome is not uncommon after a gastrectomy, and is usually treated by eating 6 small meals per day. ...Read more

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What does laparoscopic sleeve gastrectomy look like before and after?

Here is a picture: The portion of the stomach on the left is what you would be left with and the part on the right is removed permanently. ...Read more

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Had gastrectomy 11 months ago, one mixed drink makes me gag is this normal?

Maybe: Everybody has different reaction after surgery. Not having stomach and muscle that controls the passage of food can cause even worse symptoms esp with high sugar content. If its the "mixed" drinks then try something else like wine, beer etc. If same reaction, u may to give up alcohol. ...Read more

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Is there any connection between vertical sleeve gastrectomy & Crohn's disease?

No: Crohn's disease is generally a disease of the small bowel, occasionally the large intestine and is an inflammatory disorder. Sleeve gastrectomy (sg) is used for weight loss. The two disorders are not related or causal. Most patients with ibd are malnourished and the frequency of morbid obesity is lower, however in one study from israel, 13 patients with crohn's successfully underwent sg. ...Read more

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Why do patients with gastrectomy have to eat small quantities of food frequently?

See below: Gastrectomy means surgery to remove a portion or all of the stomach. The stomach is thus made smaller, cannot hold as much, and one would need to eat smaller & more frequent meals to avoid discomfort & vomiting. This type of surgery may be done for caner, stomach ulcers, or for bariatric purposes. ...Read more

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Hi, do you think I can enlist for the US military if I had a sleeve gastrectomy surgery?

Not likely: There are written guidelines which your local recruiter should have available (may be online!) ...Read more

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Why is it so hard to maintain the weight after a sleeve gastrectomy? I have gained some weight back. Not happy about it.

Maintain your diet: If you do not stay on special diet there is no surgery on earth is going to make you lose weight while you are eating whatever you want
surgery supposed to be a tool for a new fresh start not a goal. That why every patient should go through a psychiatric avaluation before surgery
enjoy the weight you lost and stick to a diet to maintain what you lost there is no free ride or magic trick. ...Read more

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After a vertical sleeve gastrectomy a year ago I am only able to eat only a few bites of food, will it be like this forever?

After a vertical sleeve gastrectomy a year ago I am only able to eat only a few bites of food, will it be like this forever?

Tight sleeve: It may be like forever. If your surgeon made your sleeve really narrow, your symptoms may be permanent. If there is only one area that is narrow, you might be able to have it dilated with endoscopy. Need to see your surgeon. ...Read more

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When is a gastrectomy done for gastric cancer?

When is a gastrectomy done for gastric cancer?

For operable cases: Gastric cancer, when diagnosed early can be removed surgically by using a gastrectomy. But most cases are advanced beyond the stomach wall and are hence inoperable. Such cases are best managed with chemotherapy and or bypass surgery to relieve the obstructive symptoms. ...Read more

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Anyone know the side affects after partial gastrectomy? Vomiting?

Anyone know the side affects after partial gastrectomy? Vomiting?

See below: Nauesa, vomiting, and early feeling of fullness are common. Patients typically should take smaller, more frequent meals. Acid reflux, and hiccups are also common. ...Read more