(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
- Upper GI series—a series of x-rays of the esophagus, stomach, and intestine during and after drinking a barium solution
- CT scan—a type of x-ray that uses a computer to make pictures of structures inside the body
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Anti-inflammatory drugs (such as aspirin)
- Blood thinners, like clopidogrel (Plavix) or warfarin (Coumadin)
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
- Frequent heartburn
- Abdominal pain
- Vitamin deficiencies
- Prescribe medicines and vitamin supplements
- Make changes in your diet
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines 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 Cancer Society http://www.cancer.org
American Gastroenterological Association http://www.gastro.org
National Cancer Institute http://www.cancer.gov
BC Cancer Agency http://www.bccancer.bc.ca/default.htm
Canadian Cancer Society http://www.cancer.ca
Stomach and esophageal cancer: what treatments are available? The Cancer Council Victoria website. Available at: http://www.cancervic.org.au/cancer1/patients/stomach/whattreatments.htm. Updated February 2008. Accessed September 3, 2009.
Stomach cancer: surgery. American Cancer Society website. Available at: http://www.cancer.org/cancer/stomachcancer/detailedguide/stomach-cancer-treating-types-of-surgery. Updated May 2009. Accessed September 3, 2009.
Surgery to remove stomach cancer. Cancer Research UK website. Available at: http://www.cancerhelp.org.uk/help/default.asp?page=3917. Updated December 2008. Accessed September 3, 2009.
What you need to know about stomach cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/wyntk/stomach. Published August 2005. Accessed September 3, 2009.
- Reviewer: Daus Mahnke, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -