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Post-operatively, up to 70% of patients undergoing total gastrectomy develop complications such as dumping syndrome and reflux esophagitis. A meta-analysis of 25 studies found that construction of a "pouch", which serves as a "stomach substitute", reduced the incidence of dumping syndrome and reflux
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The most obvious effect of the removal of the stomach is the loss of a storage place for food while it is being digested. Since only a small amount of food can be allowed into the small intestine at a time, the patient will have to eat small amounts of food regularly in order to prevent
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All patients lose weight after gastrectomy, although the extent of weight loss is dependent on the extent of surgery (total gastrectomy vs partial gastrectomy) and the pre-operative BMI. Maximum weight loss occurs by 12 months and many patients regain weight afterwards.
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production, which has been shown to be compensated after a while. Lastly, this procedure is post-operatively associated with decreased bone density and higher incidence of bone fractures. This may be due to the importance of gastric acid in
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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
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After
Bilroth II surgery, a small amount of residual gastric tissue may remain in the duodenum. The alkaline environment causes the retained gastric tissue to produce acid, which may result in ulcers in a rare complication known as
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Davis, Jeremy L.; Selby, Luke V.; Chou, Joanne F.; Schattner, Mark; Ilson, David H.; Capanu, Marinela; Brennan, Murray F.; Coit, Daniel G.; Strong, Vivian E. (May 2016).
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Also known as the
Reichel–Polya operation, this is a type of posterior gastroenterostomy which is a modification of the Billroth II operation developed by
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Do not translate text that appears unreliable or low-quality. If possible, verify the text with references provided in the foreign-language article.
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Syn, Nicholas L.; Wee, Ian; Shabbir, Asim; Kim, Guowei; So, Jimmy Bok-Yan (October 2018). "Pouch Versus No Pouch
Following Total gastrectomy".
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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
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if severe enough but the red cell is the first to be affected). This can be treated by giving the patient direct injections of vitamin B
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esophagitis by 73% and 63% respectively, and led to improvements in quality-of-life, nutritional outcomes, and body mass index.
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Content in this edit is translated from the existing
Japanese Knowledge article at ]; see its history for attribution.
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Kopic, Sascha; Geibel, John P. (January 2013). "Gastric acid, calcium absorption, and their impact on bone health".
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E. Pólya:Zur
Stumpfversorgung nach Magenresektion. Zentralblatt für Chirurgie, Leipzig, 1911, 38: 892-894.
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is performed, where the remaining portion of the stomach is reattached to the duodenum before the
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In the past a gastrectomy for peptic ulcer disease was often accompanied by a
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can occur as the stomach normally converts iron into its absorbable form.
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in the stomach lining. Intrinsic factor is essential for the uptake of
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Surgical
Practice of the Lahey Clinic, Boston, Massachusetts
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to this template: there are already 1,115 articles in the
271:. If the stomach cannot be reattached to the duodenum a
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infection or chemical imbalances in the gastric juices.
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Diagram of the stomach, showing the different regions.
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a machine-translated version of the
Japanese article.
441:, as it was recognized that they are usually due to
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426:The first successful gastrectomy was performed by
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433:Historically, gastrectomies were used to treat
220:is a partial or total surgical removal of the
104:accompanying your translation by providing an
49:Click for important translation instructions.
36:expand this article with text translated from
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346:and without it the patient will develop a
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551:Masayasu Kojima; Kenji Kangawa (2005).
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770:Sample meal plan for total gastrectomy
437:. These are now usually treated with
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232:Gastrectomies are performed to treat
948:Vertical banded gastroplasty surgery
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508:. W.B. Saunders company. p. 217
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997:Percutaneous endoscopic gastrostomy
805:Tests and procedures involving the
430:in 1881 for cancer of the stomach.
393:Another side effect is the loss of
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1435:Distal splenorenal shunt procedure
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370:where it is specifically known as
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553:"Ghrelin: Structure and Function"
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1226:Lateral internal sphincterotomy
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884:Functional Lumen Imaging Probe
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468:Finsterer-Hofmeister operation
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114:You may also add the template
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1315:Lower gastrointestinal series
1059:Upper gastrointestinal series
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354:. This can lead to a type of
251:and the upper portion of the
1581:Diagnostic peritoneal lavage
1300:Double-contrast barium enema
1127:Partial ileal bypass surgery
1004:Esophagogastric dissociation
663:10.1097/sla.0000000000003082
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1739:Surgical removal procedures
1398:Bioartificial liver devices
1325:Transrectal ultrasonography
706:Annals of Surgical Oncology
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86:will aid in categorization.
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1320:Small-bowel follow-through
1188:Abdominoperineal resection
1047:Esophagogastroduodenoscopy
621:10.1152/physrev.00015.2012
572:10.1152/physrev.00012.2004
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473:List of surgeries by type
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1734:Digestive system surgery
1535:Pancreas transplantation
1193:Lower anterior resection
874:Esophageal pH monitoring
816:Digestive system surgery
412:retained antrum syndrome
322:gastric dumping syndrome
282:gastric dumping syndrome
1629:Inguinal hernia surgery
1545:Pancreaticoduodenectomy
928:Adjustable gastric band
869:Impedance–pH monitoring
362:(can also be caused by
125:For more guidance, see
1659:Exploratory laparotomy
1474:Hepatoportoenterostomy
938:Gastric bypass surgery
807:human digestive system
456:proton pump inhibitors
388:Iron-deficiency anemia
315:Post-operative effects
298:Friedrich Paul Reichel
116:{{Translated|ja|胃切除術}}
1634:Femoral hernia repair
1420:Liver transplantation
1014:Nissen fundoplication
609:Physiological Reviews
502:Lahey Clinic (1941).
360:megaloblastic anaemia
240:of the stomach wall.
127:Knowledge:Translation
98:copyright attribution
1231:Rubber band ligation
1170:Hartmann's operation
267:and the duct of the
261:Billroth I procedure
1606:Peritoneal dialysis
1425:Portal hypertension
1330:Virtual colonoscopy
1305:Endoanal ultrasound
1221:Anorectal manometry
1216:Anal sphincterotomy
1160:Colonic polypectomy
955:Collis gastroplasty
444:Helicobacter pylori
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943:Sleeve gastrectomy
483:Sleeve gastrectomy
372:pernicious anaemia
368:autoimmune disease
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1591:Laparoscopy
1447:Gallbladder
1410:Hepatectomy
1340:Stool tests
1278:Proctoscopy
1273:Enteroscopy
1258:Colonoscopy
1142:Large bowel
1122:Jejunostomy
1082:Small bowel
1009:Hill repair
992:Gastrostomy
970:Billroth II
960:Gastrectomy
864:Sialography
560:Physiol Rev
439:antibiotics
331:-secreting
309:anastomosis
294:Eugen Pólya
273:Billroth II
255:called the
228:Indications
218:gastrectomy
191:MedlinePlus
143:Gastrectomy
45:(July 2013)
40:in Japanese
1728:Categories
1654:Laparotomy
1596:Omentopexy
1573:Peritoneum
1208:Anal canal
987:Gastropexy
965:Billroth I
593:2016-12-25
537:2016-01-23
512:2008-07-18
489:References
352:deficiency
243:In severe
1451:bile duct
1376:Accessory
1254:Endoscopy
1165:Colostomy
1155:Colectomy
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671:0003-4932
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120:talk page
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462:See also
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