after gastric resection Gastrectomy - kind of surgical intervention, the aim of which is to remove most of the body and the subsequent reconstruction of the digestive tract through the anastomosis. The Israeli clinics this operation is carried out for the treatment:

The cost of gastric resection in Israel - 17 000 $.

Employees of the medical service «Tlv.Hospital» will assist in choosing the best Israeli clinic will provide full support in the process of treatment, as well as create the most comfortable conditions of stay.

Write to us through the inquiry form and call. We work with surgeons - Professor Joseph Klausner, a professor of chestnuts, Dr. Greenberg, Subhi. Features of each case determine the choice of doctor and medical center.

After surgery, gastric resection (partial gastrectomy) remaining body portion continues to perform the former function. In that case, if cancer cells have spread to the lower region of the stomach, the surgeon cuts a portion of the patient, and creates the anastomosis upper part of the organ and the small intestine. When the tumor is localized close to the esophagus, the doctor removes the affected area and connects the lower portion of the stomach to the esophagus.

During the surgery is almost always done the big (open) incision, but sometimes surgeons use laparoscopic techniques - minimally invasive surgery, is characterized by a decrease in the level of post-operative pain, a decrease in the period of hospitalization and rehabilitation. But this procedure makes sense only in the early stages of the disease, or for the temporary relief of symptoms.

Types gastrectomy operations

Typically, partial gastrectomy is performed under general anesthesia. To anesthesiologist could throughout the operation to monitor the patient's breathing, the patient is placed in the trachea of ​​a special tube through the nose and into the stomach performed a nasogastric tube. During surgery, the surgeon performs the abdominal incision, starting from the bottom of the sternum to the navel.

Depending on the location and number of lesions remaining tissue after surgery can identify several types of surgical intervention, aimed at treatment of gastric diseases by removal of the organ site.

distal

It is to remove the lower part of the stomach (2/3 or 3/4). After excising the desired segment surgeon may impose anastomosis Billroth I or Billroth II. The first method is performed by crosslinking the remainder of the stomach and duodenum by the "end-to-end" type, and the second compound is characterized by the residual jejunum and stomach (end-to-side).

Billroth I method is most often used by Israeli doctors, since it has some significant advantages:

  1. Stump stomach continues to perform the function of food storage.
  2. It eliminates the possibility of the development of peptic ulcer of anastomosis.
  3. Food mass is transported in a natural way.
  4. Surgery takes a minimal amount of time.

In cases where the anastomosis Billroth I is not possible, the surgeon during resection anastomosis create "end-to-side."

Oncological Surgery in Israel has reached great heights. Its effectiveness is due to the professionalism of surgeons and clinics in high-tech equipment.

proximal resection

It is usually performed for treatment of bleeding, benign and malignant tumors and gastric ulcer. Advantageously carried out abdominal access, but is sometimes used thoracicoabdominal. Operative intervention is to remove the upper stomach and lower sphincter of food, after which the remaining bottom portion is connected with the esophagus.

After gastrectomy stomach of this type is probably a manifestation of complications:

  • bleeding and infection;
  • of blood clots;
  • damage to neighboring organs;
  • the return of stomach cancer;
  • dumping syndrome;
  • Addison's disease-Birmera;
  • Hernia postoperative scar.

To minimize the likelihood of complications after proximal resection is very important to seek timely help from a qualified specialist. In Israel clinics performing these operations is the most successful and effective.

Sleeve Gastrectomy

Carried out for the treatment of obesity, Causes weight loss by restricting the amount of used products necessary for patients saturation. The procedure may be performed in people with a BMI equal to or more than 40. The gastric resection of this type is carried out under general anesthesia. Usually, surgery is performed a minimally invasive manner.

The surgeon makes a few incisions (a little more than a centimeter) in the stomach, and then introduces them to special tools, which produces up to 85% removal of the body (along). The sides are fixed by means of titanium staples, resulting in a small stomach acquires a tubular shape, wherein saved body sphincters. Through the incisions are removed stomach tissue. After checking the weld state skrepochnogo, incisions are closed using absorbable sutures or sterile tape.

Rehabilitation after surgery Gastrectomy

After performing gastrectomy patient for 48 hours is introduced into the stomach with a nasogastric tube. Meals patient administered intravenously as long as he will not be able to eat and drink on their own. In most cases, patients who had undergone resection of the stomach after surgery can go for an easy diet after 7 days. they also take painkillers medication for several days. 1-2 weeks after resection, patients can return home.

Diet after surgery Gastrectomy

Regardless of the type of gastrectomy, which endured the patient, his diet should change significantly. Likely take a few months before he could return to the diet, like the first ones. The patient should follow the new diet after surgery. The patient usually begins to eat less food, thus eating more often. But over time, the remaining part of the stomach and small intestine beginning to stretch, it allows a person to eat more food and less. There are several basic points that need to know the patients after resection:

  1. Had undergone gastrectomy people should eat foods that contain calcium, iron, C, and vitamin D.
  2. Often after surgery, patients face a vitamin B12 deficiency, which can occur due to violations of the assimilation of food. In this case, people need regular injections of cobalamin.
  3. Patients should be periodically take a blood test to make sure the right amount of vitamins and minerals in the diet.

Potential complications after gastric resection:

  • lock the food in place of the anastomosis;
  • infection in the incision;
  • peritonitis (inflammation of the peritoneum);
  • heartburn or cramps;
  • spleen injury, gallbladder or pancreatic cancer;
  • deep vein thrombosis.

Israeli doctors use the slightest opportunity, trying to preserve the function of organs affected by the malignant process in its entirety. Even after partial removal ability is not lost.

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