Type of Surgery
Last updated: 11/24/2009
Gastrectomy is the surgical removal of all or part of the stomach.
This narrated video explains what the patient will experience during an EGD (esophagogastroduodenoscopy). In non-US countries this procedure is sometimes referred to as gastroscopy, but the approach shown in the video provide the doctor with a view of the esophagus, stomach, and duodenum.
A gastrectomy is a partial or full surgical removal of the stomach.
Gastrectomies are performed to treat cancer and perforations of the stomach wall.
In severe duodenal ulcers it may be necessary to remove the lower portion of the stomach called the pylorus and the upper portion of the small intestine called the duodenum. If there is a sufficient portion of the upper duodenum remaining a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the bile duct and the duct of the pancreas. If the stomach cannot be reattached to the duodenum a Billroth II is performed, where the remaining portion of the duodenum is sealed off, a hole is cut into the next section of the small intestine called the jejunum and the stomach is reattached at this hole. As the pylorus is used to grind food and slowly release the food into the small intestine, removal of the pylorus can cause food to move into the small intestine faster than normal, leading to gastric dumping syndrome.
Biliary colic is the presenting symptom in 80% of patients with gallstone disease who seek medical care; however, only 10-20% of all individuals with gallstones experience severe gallstone pain.
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