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What is a gastrectomy?

Gastrectomy

A gastrectomy is the surgical removal of part or all of the stomach. Your doctor may recommend a gastrectomy to treat cancer, benign tumors, severe ulcers, and other conditions that damage the stomach. Your doctor may perform a gastrectomy for some ulcers of the small intestine just after your stomach. Some types of bariatric surgery (weight-loss surgery) include a gastrectomy.

Gastrectomy is a major surgery with significant risks and potential complications. You may have less invasive treatment options. Consider getting a second opinion about all of your treatment choices before having a gastrectomy.

Types of gastrectomy

The types of gastrectomy procedures include:

  • Partial gastrectomy is the removal of part of the stomach. Your doctor attaches your small intestine to the remaining healthy part of the stomach.
  • Total gastrectomy is the removal of the entire stomach. Your doctor attaches the small intestine to the esophagus.
  • Sleeve gastrectomy (also called vertical sleeve gastrectomy and stomach stapling) is the removal of a large part of the stomach to help with weight loss. Your doctor uses staples to create a smaller stomach and attaches the small intestine to the remaining stomach.
Medical Reviewers: Daphne E. Hemmings, MD, MPH Last Review Date: May 7, 2013

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Medical References

Gastrectomy. Baylor College of Surgery. http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc_name=gastrectomy&content_id=272. Accessed August 23, 2011., Gastrectomy. Medline Plus, a service of the National Library of Medicine National Institutes of Health. http://www.nlm.nih.gov/medlineplus/ency/article/002945.htm. Accessed August 11, 2011., Hereditary Diffuse Gastric Cancer Syndrome (CDH1). Stanford Medicine Cancer Institute. http://cancer.stanford.edu/patient_care/services/geneticCounseling/HDGC.html. Accessed August 24, 2011., Post-Gastrectomy Syndrome Overview. Cleveland Clinic. http://my.clevelandclinic.org/disorders/post_gastrectomy_syndrome/dd_overview.aspx. Accessed August 23, 2011., Vertical sleeve gastrectomy. PubMed Health. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004677/. Accessed August 11, 2011., Pile, JC. Evaluating postoperative fever: A focused approach. Cleveland Clinic Journal of Medicine. 2006;73 (Suppl 1):S62.http://ccjm.org/content/73/Suppl_1/S62.full.pdf

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