Subtotal gastrectomy

Subtotal gastrectomy

For tumours in the distal stomach, it is unnecessary to remove the whole stomach. However, the operation is very similar to that of a total gastrectomy except that the proximal stomach Frederick Eugene Basil Foley , 1891–1966, urologist, St Paul Ramsey Medical Center, St Paul, MN, USA. gastric arteries. Following the resection, the simplest form of reconstruction is to close the stomach from the lesser curve, near the GOJ, with either sutures or staples and then ). In perform an anastomosis of the greater curve to the jejunum. Although this can be performed as in a Billroth II/Pólya-type gastrectomy , this reconstruction may result in quite marked enterogastric reflux and bile reflux oesophagitis; the preferred - reconstruction is to use a Roux loop.