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]
Entire Body System
- Fever
The patient, who had undergone Billroth II partial gastrectomy for benign ulcer 24 years before, developed abdominal pain in the right upper quadrant, associated with nausea, vomiting, and high grade fever. [ncbi.nlm.nih.gov]
When to call your healthcare provider Call your healthcare provider right away if you have any of the following: Cloudy or smelly drainage from the incision site Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Shaking chills [fairview.org]
[…] reminding visitors and healthcare providers to do the same Reminding your healthcare providers to wear gloves or masks Not allowing others to touch your incision Call Your Doctor Call your doctor if any of these occur: Signs of infection, including fever [wkhs.com]
It has been associated with such disorders as scleroderma, cirrhosis of the liver, familial Mediterranean fever, and heart disease. GAVE affects women slightly more than twice as often as men. [encyclopedia.com]
- Chills
When to call your healthcare provider Call your healthcare provider right away if you have any of the following: Cloudy or smelly drainage from the incision site Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Shaking chills [fairview.org]
[…] visitors and healthcare providers to do the same Reminding your healthcare providers to wear gloves or masks Not allowing others to touch your incision Call Your Doctor Call your doctor if any of these occur: Signs of infection, including fever and chills [wkhs.com]
- Fatigue
Night sweats Pain, nausea, or vomiting that keeps occurring after you eat Diarrhea beyond the first week after discharge Pain in your upper back, chest, or left shoulder Hiccups that won’t stop or that keep coming back Confusion, depression, or unusual fatigue [fairview.org]
Respiratoric
- Cough
Other home care Continue the coughing and deep breathing exercises that you learned in the hospital. Shower as needed. But avoid baths, swimming pools, and hot tubs until your healthcare provider says they are OK. [fairview.org]
Adequate medication for pain allows deeper breathing and coughing because the incision is close to the diaphragm. The nurse encourages the patient to breathe deeply and, if necessary, to cough. [medical-dictionary.thefreedictionary.com]
[…] discharge from the incision site Persistent nausea or vomiting Pain that you cannot control with the medications you were Pain or swelling in your feet, calves, or legs Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine Cough [wkhs.com]
You may learn special coughing and breathing exercises to help keep your lungs clear. It is very important to quit smoking at least one month before surgery. [cancer.ca]
Do Breathing and Coughing Exercises Practice taking deep breaths and coughing before your surgery. You will be given an incentive spirometer to help expand your lungs. For more information, please read How to Use Your Incentive Spirometer. [mskcc.org]
- Dyspnea
RESULTS: Among the persistently deteriorated QoL variables indicated by the preoperative-based interpretation (physical functioning, role functioning, cognitive functioning, nausea and vomiting, dyspnea, diarrhea, dysphagia, eating restrictions, dry mouth [ncbi.nlm.nih.gov]
A temperature elevation or dyspnea may indicate leakage of oral fluids or gastric leaks from the incision around the anastomosis. The most common complication of gastrectomy is dumping syndrome, with fullness and discomfort after meals. [medical-dictionary.thefreedictionary.com]
- Aspiration
This procedure rules out the risks of aspiration or anastomotic leakage which are possible with nasojejunal tubes. [inmo.ie]
Bile reflux after subtotal gastrectomy has been associated with the presence of Streptococcus and Veillonella in gastric aspirates 14 and Escherichia, Klebsiella, and Clostridium in the intestine 15. [nature.com]
Gastrointestinal
- 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]
- Abdominal Cramps
Symptoms This syndrome is characterized by a lowered tolerance for large meals, rapid emptying of food into the small intestine or “dumping,” abdominal cramping pain, diarrhea, lightheadedness after eating as well as increased heart rate and sharp drops [my.clevelandclinic.org]
Early dumping occurs 10–20 minutes after meals and is characterized by feelings of nausea, lightheadedness, sweating, heart palpitations, rapid heartbeat, and abdominal cramps. [encyclopedia.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]
- Dyspepsia
Giuseppe, Coratti Francesco Institution(s): General and Minimally Invasive Surgery, Grosseto, Italy City: International School of Robotic Surgery, Grosseto Histology (if any): gastric cancer T1N0Mx History: EGDS after few months of epigastric pain and dyspepsia [minimallyinvasive.tv]
- Melena
AVMs can cause bleeding into the gastrointestinal tract, resulting in hematemesis (vomiting blood) or melena (black or tarry stools containing blood). [encyclopedia.com]
Cardiovascular
- Tachycardia
Early symptoms (30-60 minutes post meal) include hypotension and tachycardia, and are due to the rapid emptying of the gastric remnant into the jejunum. [inmo.ie]
Skin
- Sweating
[…] healthcare provider Call your healthcare provider right away if you have any of the following: Cloudy or smelly drainage from the incision site Fever of 100.4°F (38°C) or higher, or as directed by your healthcare provider Shaking chills Fast pulse Night sweats [fairview.org]
Early dumping occurs 10–20 minutes after meals and is characterized by feelings of nausea, lightheadedness, sweating, heart palpitations, rapid heartbeat, and abdominal cramps. [encyclopedia.com]
Some patients experience light-headedness, heart palpitations or racing heart, sweating, and nausea and vomiting after a meal. These may be symptoms of "dumping syndrome," as food is rapidly "dumped" into the small intestine from the stomach. [medical-dictionary.thefreedictionary.com]
Some patients experience lightheadedness, heart palpitations or racing heart, sweating, and nausea and vomiting after a meal. These may be symptoms of "dumping syndrome," as food is rapidly dumped into the small intestine from the stomach. [surgeryencyclopedia.com]
Treatment
Conclusions: LSG can be safely performed for the treatment of AGC, allowing faster postoperative recovery. Abstract 168 | PDF Downloads 61 Article Sidebar Article Details How to Cite 1. [mattioli1885journals.com]
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]
Prognosis
Univariate analysis and multivariate analysis was used to identify significant prognostic factors correlated with LN metastasis and prognosis. [ncbi.nlm.nih.gov]
Prognosis after Distal Subtotal Gastrectomy: The prognosis for a positive end result following distal subtotal gastrectomy is good. [orangecountysurgeons.org]
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. [mattioli1885journals.com]
Etiology
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]
Laparoscopic port-site metastases: Etiology and prevention. Gynecol Oncol 2003;91:179-89. 2. Döbrönte Z, Wittmann T, Karácsony G. Rapid development of malignant metastases in the abdominal wall after laparoscopy. Endoscopy 1978;10:127-30. 3. [jmedscindmc.com]
Enterocutaneous fistulae: etiology, treatment, and outcome - a study from South India. Saudi J Gastroenterol. 2011 Nov-Dec. 17 (6):391-5. [Medline]. [Full Text]. WILLIAMS JA, STAMMERS FA. [emedicine.medscape.com]
Epidemiology
Epidemiology of perforated peptic ulcer: age- and gender- adjusted analysis of incidence and mortality. World J Gastroenterol 2013; 19:347–354. 16. Mulvany MJ. Protecting against vascular disease in brain. [journals.lww.com]
Poor survival for US Pacific Islander cancer patients: evidence from the Surveillance, Epidemiology, and End Results database: 1991 to 2004. J Clin Oncol. 25, 5738–5741 (2007). 3. [nature.com]
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]
The mechanism of diabetes control after gastrointestinal bypass surgery reveals a role of the proximal small intestine in the pathophysiology of type 2 diabetes. Ann Surg 2006; 244:741–749. 29. Drucker DJ. [journals.lww.com]
Prevention
After NG tube is removed, intake is advanced gradually to prevent gastric irritation and distension. [nurseslabs.com]
Efficacy of surgical measures in preventing port-site recurrences in a porcine model. Surg Endosc 2001;15:121-5. [Figure 1] [Table 1] [jmedscindmc.com]
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]
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]