(Total Gastrectomy; Partial Gastrectomy; Subtotal Gastrectomy; Stomach Removal)
|Abdominal Organs, Anterior View|
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Reasons for Procedure
- Ulcer disease
- Benign tumors in the stomach
- Damage to nearby organs
- Leaking from the new connection between the stomach, intestine, and/or esophagus
- Hernia formation at the incision site
- Blood clots
- Reaction to anesthesia
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Fecal occult blood test (FOBT)—a test to check for blood in the stool
- Endoscopy—a procedure that uses a scope with a camera on the end to examine the gastrointestinal system
- Imaging studies to look at the esophagus, stomach, and intestine, including:
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
Your doctor may recommend:
- Eating a special diet
- Taking antibiotics
- 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.
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- 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.
- Frequent heartburn
- Abdominal pain
- Vitamin deficiencies
- Prescribe medications and vitamin supplements
- Recommend medications to reduce stomach acid
- Make changes in your diet
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Persistent nausea and/or vomiting
- Pain that you cannot control with the medications you have been given
- Pain and/or swelling in your feet, calves, or legs
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Cough, shortness of breath, or chest pain
- Swelling and/or pain in your legs, calves, or feet
American Gastroenterological Association http://www.gastro.org
National Cancer Institute http://www.cancer.gov
BC Cancer Agency http://www.bccancer.bc.ca
Canadian Cancer Society http://www.cancer.ca
Surgery for stomach cancer. American Cancer Society website. Available at: http://www.cancer.org/cancer/stomachcancer/detailedguide/stomach-cancer-treating-types-of-surgery. Updated November 5, 2014. Accessed December 1, 2014.
Surgery to remove stomach cancer. Cancer Research UK website. Available at: http://www.cancerhelp.org.uk/help/default.asp?page=3917. Accessed December 1, 2014.
What you need to know about stomach cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/wyntk/stomach. Accessed December 1, 2014.
3/23/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Short V, Herbert G, et al. Chewing gum for postoperative recovery of gastrointestinal function. Cochrane Database Syst Rev. 2015 Feb 20;2.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 03/23/2015 -