Professional Documents
Culture Documents
Gastric Surgeries
Gastric Surgeries
Gastric Surgeries
1. Vagotomy:
- The partial or total removal of the Vagus nerve innervating the
stomach
- Depending on the extent of the vagotomy:
- HCl secretion is reduced + gastric emptying slowed
- Dumping syndrome often occurs
2. Billroth I/ gastroduodenostomy
- The pylorus is removed and the distal stomach is anastomosed directly
to the duodenum.
- Why? For treatment of gastric cancer
Results in:
- Smaller stomach= less IF and less HCl
- No spinchter
- Duodenum is shorter= absorption + digestive problems
- Less dumping than Billroth II
Results in:
- Steatorrhea
- Weight loss
- Dumping
- Vomiting
- Bacterial overgrowth
Results in:
- Smaller stomach
- Spinchter problem
- Absorption problem
- Can lead to dumping, bowel obstruction, gallstones, ulcers,
malnutrition.
5. Pyloroplasty:
- Widen the opening (pylorus) so that stomach can empty into small
intestine (duodenum).
- Why? To treat peptic ulcers, or other problems that may block
stomach opening.
Results in:
- Duodenal reflux