Pregnancy SmartSite^TM

• Home
• Email
• Site Map
• Contact

• Normal Pregnancy
• Labor & Delivery
• Complications
• After Your Child Is Born

Normal Pregnancy

Staying Healthy

Alcohol and pregnancy Managing your weight gain in pregnancy Steps to take before you get pregnant When you need to gain more weight during pregnancy

What to expect during pregnancy

Aches and pains during pregnancy Choosing the right practitioner Common symptoms during pregnancy Hyperemesis Gravidarum Morning sickness Pregnancy and travel Pregnancy and work Problems sleeping during pregnancy Skin and hair changes during pregnancy Teenage pregnancy

Preparing to go home with your baby

Cribs and crib safety Eat right during pregnancy Preparing your other children

Visits and Tests

Amniocentesis Chorionic villus sampling Genetic counseling before pregnancy Glucose tolerance test-pregnancy Monitoring your baby before labor Nuchal translucency Prenatal care in your first trimester Prenatal care in your second trimester Prenatal care in your third trimester

Gastrectomy

Definition

Gastrectomy is surgery to remove part or all of the stomach.

• If only part of the stomach is removed, it is called partial gastrectomy

• If the whole stomach is removed, it is called total gastrectomy

Description

The surgery is done while you are under general anesthesia (asleep and pain free). The surgeon makes a cut in the abdomen and removes all or part of the stomach, depending on the reason for the procedure.

Depending on what part of the stomach was removed, the intestine may need to be reconnected to the remaining stomach (partial gastrectomy) or to the esophagus (total gastrectomy).

Some surgeons can also do this surgery using a laparoscope. A laparoscope has a tiny camera that is inserted into your belly through a small cut. Video from the camera will appear on a monitor in the operating room. The surgeon views the monitor to do the surgery. When done this way, the surgery, which is called laparoscopy, is done with a few small surgical cuts. The advantages of this surgery are a faster recovery, less pain, and only a few small cuts.

Why the Procedure Is Performed

This surgery is used to treat stomach problems such as:

• Bleeding

• Inflammation

• Cancer

• Polyps (growth on the lining of the stomach)

Risks

Risks for anesthesia and surgery in general include:

• Reactions to medicines or breathing problems

• Bleeding, blood clots, heart problems. or infection

Risks for this surgery include:

• Leaking from the connection to the intestine which can cause infection or abscess

• Narrowing of the connection to the intestine, causing blockage

• Nausea or vomiting

• Dumping syndrome, (when food moves too rapidly from the stomach to the duodenum)

• Persistent diarrhea

Before the Procedure

If you are a smoker, you should stop smoking several weeks before surgery and not start smoking again after surgery. Smoking slows recovery and increases the risk of problems. Tell your surgeon or health care provider if you need help quitting.

Tell your surgeon or nurse if:

• You are or could be pregnant

• You are taking any medicines, including medicines, supplements, or herbs you bought without a prescription

During the week before your surgery:

• You may be asked to temporarily stop taking medicines that keep your blood from clotting. These medicines are called blood thinners. This includes over-the-counter medicines and supplements such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and vitamin E. Many prescription medicines are also blood thinners.

• Ask your surgeon which medicines you should still take on the day of surgery.

On the day of surgery:

• Follow instructions about when to stop eating and drinking.

• Take the medicines your surgeon told you to take with a small sip of water.

• Arrive at the hospital on time.

After the Procedure

You may stay in hospital for 6 to10 days.

After surgery, there may be a tube in your nose which will help keep your stomach empty. It is removed as soon as your bowels are working well.

Most people have pain from the surgery. You may receive a single medicine or a combination of medicines to control your pain. Tell your surgeon when you are having pain and if the medicines you are receiving control your pain.

How well you do after surgery depends on the reason for the surgery and your condition.

Ask your surgeon if there are any activities you shouldn't do after you go home. It may take several weeks for you to recover fully. While you are taking narcotic pain medicines, you should not drive.

References

Antiporda M, Reavis KM. Gastrectomy. In: Delaney CP, ed. Netter's Surgical Anatomy and Approaches. 2nd ed. Philadelphia, PA: Elsevier; 2021:chap 8.

Mahvi DA, Mahvi DM. Stomach. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 49.

Review Date: 9/30/2024

Reviewed By: Jonas DeMuro, MD, Diplomate of the American Board of Surgery with added Qualifications in Surgical Critical Care, Assistant Professor of Surgery, Renaissance School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.