gastrectomy n : surgical removal of all or part of the stomach
- In the context of "surgery": Removal of the stomach.
A gastrectomy is a partial or full surgical removal of the stomach. The first successful gastrectomy was performed by Theodor Billroth in 1881 for cancer of the stomach. Gastrectomies are performed to treat cancer, severe cases of peptic ulcer disease, and perforations of the stomach wall. This procedure is becoming less common as peptic ulcers are now often treated with antibiotics for Helicobacter pylori or by endoscopy.
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.
In the past a gastrectomy for peptic ulcer disease was often accompanied by a vagotomy, where the vagus nerve is cut to reduce acid production in the stomach. Nowadays, this problem is managed with proton pump inhibitors.
Polya's operationA type of posterior gastroenterostomy which is a modification of the Billroth II operation. Resection of 2/3 of the stomach with blind closure of the duodenal stump and retrocolic anastomosis of the full circumference of the open stomach to jejunum
See also Finsterer-Hofmeister operation under Hans Finsterer, German surgeon, 1877–1955.
gastrectomy in Arabic: استئصال معدي
gastrectomy in Asturian: Gastrectomía
gastrectomy in Catalan: Gastrectomia
gastrectomy in German: Magenresektion
gastrectomy in Spanish: Gastrectomía
gastrectomy in French: Gastrectomie
gastrectomy in Korean: 위절제술
gastrectomy in Icelandic: Maganám
gastrectomy in Italian: Gastrectomia
gastrectomy in Cornish: Gastrektomi
gastrectomy in Latin: Gastrectomia
gastrectomy in Hungarian: Gasztrektómia
gastrectomy in Japanese: 胃切除術
gastrectomy in Portuguese: Gastrectomia
gastrectomy in Sicilian: Gastrectumìa
gastrectomy in Swedish: Gastrektomi
gastrectomy in Turkish: Gastrektomi
gastrectomy in Chinese: 胃切除術