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Surgical Procedures for Stomach Cancer
- Distal subtotal gastrectomy —This involves the removal of the part of the stomach closest to the intestine; some of the duodenum (first part of the small intestine) may also be removed. The remaining stomach is attached to the small intestine.
- Proximal subtotal gastrectomy —In this procedure, the surgeon removes the part of the stomach closest to the esophagus. A portion of the esophagus may be removed at the same time. The remaining stomach is attached to the esophagus.
- Total gastrectomy —The entire stomach is removed. A piece of intestine is then used to form a new holding pouch for food; this holding pouch is then attached to the esophagus.
- Stage I: 50%-80%
- Stage II: 30%-50%
- Stage III: 8%-40%
- Stage IV: 7%
- Blood clots
- Damage to neighboring tissues or organs
- Remaining cancer
- Digestive juices leaking into the abdomen
- Nutritional deficiencies
- Inability to eat more than a small amount at a meal
- Pernicious anemia —inability of the body to process vitamin B12 , requiring B12 shots for life
- Dumping syndrome—foods pass into the small intestine too quickly, causing symptoms such as sweating, dizziness, nausea, vomiting, diarrhea
- Nasogastric tube—This is a tube that passes through your nose into the remaining part of your stomach in order to drain accumulating digestive juices. The tube will stay in place for several days until your intestine is functioning normally again.
- Feeding jejunostomy tube—This will be placed into the small intestine at the time of surgery. A liquid form of nutrition may then be administered through this tube until your oral intake is adequate to maintain your weight.
- Intravenous (IV) fluids—These will be administered until you are able to drink sufficiently.
- Antibiotics through the IV (if necessary)
- Oxygen through a tube placed near your nostrils (if necessary)
- A bladder catheter to drain your urine (if necessary)
- Eating smaller meals
- Eating more frequent meals
- Avoiding a high intake of fat at any given time
- Making sure that the calories you take in are as nutritious as possible
- Utilizing dietary supplements if you are having difficulty maintaining good nutrition
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Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. Philadelphia, PA: WB Saunders Company; 1998: 733-749.
What is stomach cancer? American Cancer Society website. Available at: http://www.cancer.org/ . Accessed December 2002.
What you need to know about stomach cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancerinfo/wyntk/stomach . Accessed December 2002.
9/18/2007 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Küchler T, Bestmann B, Rappat S, Henne-Bruns D, Wood-Dauphinee S. Impact of psychotherapeutic support for patients with gastrointestinal cancer undergoing surgery: 10-year survival results of a randomized trial. J Clin Oncol. 2007;25:2702-2708.
- Reviewer: Igor Puzanov, MD
- Review Date: 09/2013
- Update Date: 09/30/2013