Gastrectomy - a surgical procedure to remove part or all of the stomach, which is usually done to treat cancer, as well as the appointment may be a bleeding ulcer, perforation of the body (the formation of the through-hole in the stomach wall) and benign polyps. In this case we consider the kind of total gastrectomy surgery.

The cost of gastrectomy in Israel - 18 000 - 30 000 $.

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operation gastrectomy Removal of the tumor, as a rule, together with the nearby lymph nodes, often the only way of treating gastric cancer in Israelin various forms of disease. Recent studies show that the number of lymph nodes resected more increases the likelihood of patient survival. Total gastrectomy sometimes recommended for CDH1 carriers of the mutated gene causing hereditary diffuse gastric cancer. It is carried out in order to prevent the disease. Also, this type of surgery is performed with adenocarcinoma, lymphosarcoma and LMS stomach, Zollinger-Ellison syndrome and other non-cancer diseases.

It is difficult to imagine that after operation gastrectomy people can adapt to a life without such an important authority. The stomach connects with the esophagus (the muscular tube that provides food transportation) at one end and at the other - to the small intestine which is responsible for absorption and uptake of nutrients. If the removal was performed the entire organ - the surgeon combines the esophagus to the small intestine, where digestion and the process begins. Over time, the patient's body adapts to the changes.

Preparation for surgery gastrectomy

Prior to the procedure, in Israel, the patient must undergo several major surveys that doctors were convinced that he was healthy enough and able to undergo surgery, as well as to confirm the diagnosis - cancer of the stomach. Thus, diagnostic tests include:

  1. Anamnesis.
  2. Blood tests.
  3. Medical checkup.
  4. Endoscopy - held for investigation of the gastrointestinal tract.
  5. Imaging studies, aimed at obtaining an image of the esophagus, stomach and intestines (radiographs and computed tomography).

Also, a week before the operation the patient gastrectomy may be asked to stop taking certain drugs: antiplatelet, anti-inflammatory and blood-thinning.

In addition, the patient may be recommended to change the diet and prescribe antibiotics. The day before surgery patients are allowed to eat only bland foods, and after midnight are forbidden to eat or drink. Smoking people is necessary as soon as possible to refuse from nicotine addiction, as smoking can lead to serious complications and increase the rehabilitation period.

Stroke gastrectomy surgery in Israel

The procedure usually lasts from 4 to 5 hours. During surgery, the patient gastrectomy, who was diagnosed with stomach cancer, is under general anesthesia. In order to control diuresis using a urinary catheter, and held nasogastric intubation. The abdominal cavity is treated with an antiseptic solution, after which the surgeon makes an incision from the belly to the belly button.

When total resection removed stomach, small and large gaskets and neighboring lymph nodes, which may be metastases. Typically, the upper end 12 of the duodenum from the stomach is cut and sutured. Performed bringing down the distal portion of the esophagus, which then makes it easier to process anastomosis between the lower part of the esophagus and the small intestine. During total gastrectomy also examines the lymph nodes for the presence of tumor cells. Sometimes it is necessary to remove the spleen and part of the esophagus, pancreas and intestines.

The formation of an alternative stomach after removal of the tumor and surrounding tissues then allow the patient to continue to swallow and digest food. But due to the limited body of opportunities patient has lifelong use a smaller amount of food, but on a more regular basis.

After total gastrectomy

Before anesthesia is no longer valid, the patients are under constant control of the Israeli clinic medical staff. Their vital signs are recorded and analyzed. After surgery, gastrectomy, patients usually feel pain in the area of ​​the cut, so they prescribe special medicines that have analgiticheskim action.

Patients are connected to a drip, because they can not eat, drink or take pain medicine first time after the procedure. Sometimes patients need to supply oxygen through a mask, wrapping up the mouth and nose. Nasogastric carried directly into the small intestine and remains there as long as the function of the intestine (2-3 days) will be restored. Also, doctors are assessing bowel sounds with a stethoscope. Following the resumption of bowel functioning patient drinks a special fluid - if it is absorbed, then the probe is removed, and his diet is gradually changing from the liquid to the use of soft foods, and eventually - to more solid food.

Usually hospitalization period is not less than a week, but his recovery will take about 3-6 months.

Complications gastrectomy - whether to call a doctor

As well as after any other surgery, the removal of the stomach has certain risks. The patient should immediately seek your doctor if he observed:

  • Pain and burning sensation during urination. Rare or frequent urge to the bathroom, as well as the amount of bleeding in the urine.
  • Signs of infection (fever or chills).
  • Swelling, redness, increasing pain, excessive bleeding, or other discharge from the incision.
  • Persistent nausea or vomiting.
  • Unceasing pain despite analgesics.
  • Diarrhea.
  • Cough, shortness of breath or chest pain.
  • Pain and swelling in the legs.

The above symptoms may indicate a certain postoperative complications of gastrectomy:

  • damage to neighboring organs;
  • anastomotic leak;
  • infection;
  • bleeding;
  • hernia at the site of incision;
  • the formation of blood clots;
  • reflux esophagitis;
  • anemia.

After discharge from the hospital, the patient should follow a specially designed diet, it is necessary to eat foods rich in calcium, iron, C and D. The vitamin is also patient needs injections of vitamin B12, as the consequence of total gastrectomy is a violation of the absorption, which can lead to pernicious anemia.

Israel is recognized as a world leader in the treatment of tumors of the gastrointestinal tract. Operation in Israel - a high quality of care due to the professionalism of surgeons and medical infrastructure efficiency, reduced period of rehabilitation and recovery, high level of service.

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