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Subtotal Gastrectomy


Presentation

  • A total of 41% of patients presented H. pylori reinfection at the gastric remnant after Roux-en-Y anastomosis, which increased parallel to the length of follow-up.[ncbi.nlm.nih.gov]
  • Short- and long-term follow-up results are also presented. RESULTS: The mean age of patients was 53.3 years (range 26-80) and the average body mass index was 23.2 kg/m(2) (range 16.9-33.3).[ncbi.nlm.nih.gov]
  • When a suspicious distal gastric lesion is present preoperatively, a distal subtotal gastrectomy may be needed. Herein we describe such a case performed laparoscopically.[ncbi.nlm.nih.gov]
  • A patient presented with malignant thyroid lymphoma in association with Hashimoto disease. Abnormal, intense Ga-67 accumulation in the thyroid was seen.[ncbi.nlm.nih.gov]
  • We present a rare late-onset (after 24 years) complication of gastric surgery with a combination of afferent loop syndrome associated with a large duodenal stone.[ncbi.nlm.nih.gov]
Early Satiety
  • Amongst the most frequently cited symptoms are: 48% reporting early satiety 26% epigastric fullness 26% epigastric pain 43% reflux 22% diarrhoea 17% nausea.[inmo.ie]
  • Patients who have early satiety (feeling of fullness after eating), abdominal discomfort, and vomiting may have bile reflux gastritis (also called bilious vomiting), which is also surgically correctable. Many patients also experience weight loss.[medical-dictionary.thefreedictionary.com]
Loss of Appetite
  • Loss of appetite was rarely observed; early after the operation the majority of patients were consuming a normal diet and regularly consumed less than five meals per day (83.6%).[ncbi.nlm.nih.gov]
Myopathy
  • Exclusion criteria were diabetes mellitus, neurologic disease, myopathy, recent viral enteritis history, concomitant therapy influencing gastrointestinal motility and severe comorbidity.[ncbi.nlm.nih.gov]
Muscle Weakness
  • Efforts should be made to prevent perioperative attacks of muscle weakness when planning anesthesia for patients with this kind of disorder.[ncbi.nlm.nih.gov]

Treatment

  • METHODS: Patients who diagnosed with gastric cancer and received treatment at six academic referral centers were investigated for the incidence and time of cholelithiasis and the degree of CBD dilatation after treatment by analysis of 5-year follow-up[ncbi.nlm.nih.gov]
  • This review aims to clarify and define the actual landmarks of this procedure and the role it plays compared to the whole range of new and old treatment methods.[ncbi.nlm.nih.gov]
  • The purpose of the current study was to determine if these advantages persist after radical laparoscopic treatment of more advanced gastric cancer.[ncbi.nlm.nih.gov]
  • INTRODUCTION: Multifocal early gastric cancer (MEGC) is frequently observed and represents a serious risk when minimally invasive treatments are performed.[ncbi.nlm.nih.gov]
  • In summary, subtotal gastrectomy as a treatment for GTC is potentially safe, curative, and beneficial for the patient's quality of life.[ncbi.nlm.nih.gov]

Prognosis

  • Univariate analysis and multivariate analysis was used to identify significant prognostic factors correlated with LN metastasis and prognosis.[ncbi.nlm.nih.gov]
  • Multivariate analysis identified age at diagnosis, diffuse-type tumor, pN and LODDS as independent predictors of worse prognosis. CONCLUSIONS: LSG can be safely performed for the treatment of AGC, allowing faster postoperative recovery.[ncbi.nlm.nih.gov]
  • Prognosis after Distal Subtotal Gastrectomy: The prognosis for a positive end result following distal subtotal gastrectomy is good.[orangecountysurgeons.org]
  • […] rate for early and advanced signet ring cell carcinoma was 0.830 and 0.164, respectively (p CONCLUSION: Subtotal gastrectomy can be performed safely for patients with gastric signet ring cell carcinoma and is equal to total gastrectomy with respect to prognosis[ncbi.nlm.nih.gov]
  • Subtotal gastrectomy is the treatment of choice for middle and distal-third gastric cancer as it provides similar survival rates and better functional outcome compared to total gastrectomy, especially in early-stage disease with favorable prognosis.[ncbi.nlm.nih.gov]

Etiology

  • The etiology and pathophysiology of this rare process are discussed with an emphasis on the difficulty in diagnosis of posterior gastric perforation into the lesser sac.[ncbi.nlm.nih.gov]
  • It is proposed that reflux bile gastritis might have played an important etiologic role in the development of these recurring hyperplastic polyps.[ncbi.nlm.nih.gov]
  • Although the etiology of omental lymphangioma remains largely unclear, these findings suggested strongly that obstruction of the lymphatic vessels after gastric resection for gastric carcinoma might be the most plausible cause.[ncbi.nlm.nih.gov]

Pathophysiology

  • The etiology and pathophysiology of this rare process are discussed with an emphasis on the difficulty in diagnosis of posterior gastric perforation into the lesser sac.[ncbi.nlm.nih.gov]

Prevention

  • Efforts should be made to prevent perioperative attacks of muscle weakness when planning anesthesia for patients with this kind of disorder.[ncbi.nlm.nih.gov]
  • After NG tube is removed, intake is advanced gradually to prevent gastric irritation and distension.[nurseslabs.com]
  • After subtotal gastrectomy for early gastric cancer, prevention of readmission can improve the patient's quality of life.[ncbi.nlm.nih.gov]
  • Additional sutures of 3-0 silk were then placed high along the greater curvature to prevent any acute obstruction of the small bowel.[aapc.com]
  • Even when the cancer is too widespread to be removed completely, patients may be helped by surgery because it may help prevent bleeding from the tumor or prevent the stomach from being blocked by tumor growth.[cancer.org]

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