Doctor insights on:
Diet After Partial Gastrectomy
2 years post sleeve gastrectomy, I feel like my maybe my stomach stretched. How do I start the diet again with results?
It does stretch: They all stretch which is why you need to make the most of the tool while you have it and change lifestyle. Sometimes we need to put a band over them. ...Read more
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
I have been advised that I need a partial gastrectomy. Does anyone have any idea what this involves?
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
I hear you can get drop foot from a gastrectomy. I had a billroth 2 partial gastrectomy, could it have caused my drop foot?
No: Dropped foot has no relate to stomach surgery. They are mutually exclusive events. Presuming you have no obvious cause of drop foot (no old trauma to the upper leg, etc), I recommend you see your primary physician who, after a workup, may send you to a specialist like an neurologist, orthopedist or podiatrist. Foot drop has many causes; stomach surgery is not one of them. ...Read more
Top dr says 87yr old man that had partial gastrectomy but found some lymph node involvement will likely succumb to other causes & not cancer. True?
Possible: Depends upon the overall health of the person and associated illnesses which can also limit further chemotherapy or radiotherapy as adjunct treatment to the surgery, specially at that age. Proper gastric surgery can result in a long term disease/cancer control but gastric cancer can have an aggressive disease course and high risk of recurrence. ...Read more
Vitamins & minerals: Vitamin B12 is a tricky one, you may not be absorbing *oral* B12 well after partial gastrectomy. Copper or vitamin b6 deficiency may mimic B12 deficiency. Finally, too rapid weight loss or deficiency of multiple factors at once can cause mononeuritis. Get checked by your neurologist, and good luck! ...Read more
87 yr old dad just had partial gastrectomy for adenocarcinoma. 26 lymph nodes removed & 9 tested positive. Is there hope w/ that prognosis? What next?
N3 disease: What is the stage exactly? With 9 lymph nodes being +, his stage ranges from iib to iiic- with 5 year overall survival range from 33% to 9% with surgery alone. He would be ideally needing an adjuvant therapy post surgery- however the case is not that simple. His age and other medical problems have to be calculated. Discuss further with your oncologist re- pros and cons of radiation+chemo vs obs. ...Read more
Top onco says 5-FU for 6 months is best protocol for 87 yr man. W/adenocarcinoma of stomach. Had partial gastrectomy & 9\26 positive lymph nodes. True?
Dubious: Unaware data supporting benefit of sole 5fu (fluorouracil) adjuvant therapy of n3 gastric adenocarcinoma after complete resection (negative margins). If a "young" 87 yo deemed able to tolerate aggressive treatment-then give standard rx (see nccn guidelines-but note 87 yo were not studied). While your onco well intentioned, consider second opinion and quality of life. Survival possible without chemo. ...Read more
Have metabolic induced foot drop (b12 deficiency, from a partial gastrectomy), ideas about recovery time? (b12 is helping, also w sleep & appetite.)
Peripheral Neuropath: You likely have peripheral neuropathy caused by B12 deficiency. This causes death to the axon fibers of the nerve and this can be a long recovery process. It can take up to 24 months for recovery but unfortunately it may not fully recover depending on the extent of initial nerve damage. ...Read more
I have what they called anastomotic ulcers one year after small bowel resection (removal of duodenum and partial gastrectomy). Is that normal?
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
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
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
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
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
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
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
Talk to your surgeon: It's the doctor's responsibility to explain it and answer all your questions. ...Read more
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
Not likely: There are written guidelines which your local recruiter should have available (may be online!) ...Read more
Enzymatic Breakdown: The function of the stomach is to work like a washing machine, mixing the food with acid and enzymes to start the digestive process. In the intestine, very strong enzymes further the digestion process and enable the nutrients to be absorbed. Absent a stomach, one must eat more frequent, smaller meals, but the intestine will continue to digest and absorb nutrients. ...Read more
Unclear: Your question is not clear. Please clarify. ...Read more
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
The position: That is comfortable to the 'PATIENT'.Get a more detailed answer ›
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
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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