胃切除術
WordNet
- surgical removal of all or part of the stomach
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/06/02 01:39:01」(JST)
[Wiki en表示]
| Gastrectomy |
| Intervention |
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Diagram of the stomach, showing the different regions.
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| ICD-9-CM |
43.5-43.9 |
| MeSH |
D005743 |
| MedlinePlus |
002945 |
A gastrectomy is a partial or full surgical removal of the stomach.
Contents
- 1 Indications
- 2 Polya's operation
- 3 Post-operative effects
- 4 History
- 5 See also
- 6 References
Indications
Gastrectomies are performed to treat cancer and perforations of the stomach wall.
In severe duodenal ulcers it may be necessary to remove the lower portion of the stomach called the pylorus and the upper portion of the small intestine called the duodenum. If there is a sufficient portion of the upper duodenum remaining a Billroth I procedure is performed, where the remaining portion of the stomach is reattached to the duodenum before the bile duct and the duct of the pancreas. If the stomach cannot be reattached to the duodenum a Billroth II is performed, where the remaining portion of the duodenum is sealed off, a hole is cut into the next section of the small intestine called the jejunum and the stomach is reattached at this hole. As the pylorus is used to grind food and slowly release the food into the small intestine, removal of the pylorus can cause food to move into the small intestine faster than normal, leading to gastric dumping syndrome.
Polya's operation
A type of posterior gastroenterostomy which is a modification of the Billroth II operation. Resection of 2/3 of the stomach with blind closure of the duodenal stump and retrocolic anastomosis of the full circumference of the open stomach to jejunum.
Post-operative effects
The most obvious effect of the removal of the stomach is the loss of a storage place for food while it is being digested. Since only a small amount of food can be allowed into the small intestine at a time, the patient will have to eat small amounts of food regularly in order to prevent gastric dumping syndrome.
Another major effect is the loss of the intrinsic-factor-secreting parietal cells in the stomach lining. Intrinsic factor is essential for the uptake of vitamin B12 and without it the patient will suffer from a vitamin B12 deficiency. This can lead to a type of anemia known as pernicious anemia which severely reduces red-blood cell synthesis (known as erythropoiesis). This can be treated by giving the patient direct injections of vitamin B12.
History
The first successful gastrectomy was performed by Theodor Billroth in 1881 for cancer of the stomach.
Historically, gastrectomies were used to treat peptic ulcers.[1] These are now usually treated with antibiotics, as it was recognized that they are usually due to Helicobacter pylori.
In the past a gastrectomy for peptic ulcer disease was often accompanied by a vagotomy, to reduce acid production. Nowadays, this problem is managed with proton pump inhibitors.
See also
- Finsterer-Hofmeister operation
- Roux-en-Y
- Sleeve gastrectomy
References
- ^ E. Pólya:Zur Stumpfversorgung nach Magenresektion. Zentralblatt für Chirurgie, Leipzig, 1911, 38: 892-894.
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Digestive system surgical and other procedures / Digestive system surgery (ICD-9-CM V3 42–54, ICD-10-PCS 0D)
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| Digestive tract |
| Upper GI tract |
| SGs / Esophagus |
- Esophagectomy
- Heller myotomy
- Sialography
- Impedance–pH monitoring
- Esophageal pH monitoring
- Esophageal motility study
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| Stomach |
- Bariatric surgery
- Adjustable gastric band
- Gastric bypass surgery
- Sleeve gastrectomy
- Vertical banded gastroplasty surgery
- Collis gastroplasty
- Gastrectomy
- Billroth I
- Billroth II
- Roux-en-Y
- Gastroenterostomy
- Gastropexy
- Gastrostomy
- Percutaneous endoscopic gastrostomy
- Hill repair
- Nissen fundoplication
- Pyloromyotomy
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| Medical imaging |
- Endoscopy: Esophagogastroduodenoscopy
- Barium swallow
- Upper gastrointestinal series
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| Lower GI tract |
| Small bowel |
- Bariatric surgery
- Duodenal switch
- Jejunoileal bypass
- Ileostomy
- Jejunostomy
- Partial ileal bypass surgery
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| Large bowel |
- Appendicectomy
- Colectomy
- Colonic polypectomy
- Colostomy
- Hartmann's operation
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| Rectum |
- Abdominoperineal resection / Miles operation
- Lower anterior resection
- Total mesorectal excision
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| Anal canal |
- Anal sphincterotomy
- Anorectal manometry
- Lateral internal sphincterotomy
- Rubber band ligation
- Transanal hemorrhoidal dearterialization
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| Medical imaging |
- Endoscopy: Colonoscopy
- Anoscopy
- Capsule endoscopy
- Enteroscopy
- Proctoscopy
- Sigmoidoscopy
- Abdominal ultrasonography
- Defecography
- Double-contrast barium enema
- Endoanal ultrasound
- Enteroclysis
- Lower gastrointestinal series
- Small-bowel follow-through
- Transrectal ultrasonography
- Virtual colonoscopy
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| Stool tests |
- Fecal fat test
- Fecal pH test
- Stool guaiac test
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| Accessory |
| Liver |
- Artificial extracorporeal liver support
- Bioartificial liver devices
- Liver dialysis
- Hepatectomy
- Liver biopsy
- Liver transplantation
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| Gallbladder, bile duct |
- Cholecystectomy
- Cholecystostomy
- ERCP
- Hepatoportoenterostomy
- Medical imaging: Cholangiography
- Cholecystography
- Cholescintigraphy
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| Pancreas |
- Frey's procedure
- Pancreas transplantation
- Pancreatectomy
- Pancreaticoduodenectomy
- Puestow procedure
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| Abdominopelvic |
| Peritoneum |
- Diagnostic peritoneal lavage
- Intraperitoneal injection
- Laparoscopy
- Omentopexy
- Paracentesis
- Peritoneal dialysis
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| Hernia |
- Hernia repair: Inguinal hernia surgery
- Femoral hernia repair
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| Other |
- Laparotomy
- Rapid urease test / Urea breath test
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| CPRs |
- MELD
- PELD
- UKELD
- Child-Pugh score
- Ranson criteria
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anat (t, g, p)/phys/devp/enzy
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noco/cong/tumr, sysi/epon
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proc, drug (A2A/2B/3/4/5/6/7/14/16), blte
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UpToDate Contents
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English Journal
- Prospective comparative study of the efficacy of staple-line reinforcement in laparoscopic sleeve gastrectomy.
- Stamou KM, Menenakos E, Dardamanis D, Arabatzi C, Alevizos L, Albanopoulos K, Leandros E, Zografos G.Source1st Department of Propaedeutic Surgery, Hippokration Hospital of Athens, Athens Medical School, Vasilissis Sofias Avenue 114, 11527, Athens, Greece, cstamou@hotmail.com.
- Surgical endoscopy.2011 Jun 3. [Epub ahead of print]
- PMID 21638186
- First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72?h after sleeve gastrectomy in obese diabetic patients: the gastric hypothesis.
- Basso N, Capoccia D, Rizzello M, Abbatini F, Mariani P, Maglio C, Coccia F, Borgonuovo G, De Luca ML, Asprino R, Alessandri G, Casella G, Leonetti F.SourceSurgical-Medical Center for Digestive Diseases, Policlinico "Umberto I", University of Rome "Sapienza", Viale del Policlinico, 00161, Rome, Italy, nicola.basso@uniroma1.it.
- Surgical endoscopy.2011 Jun 3. [Epub ahead of print]
- PMID 21638183
Japanese Journal
- 野間 和広,田中屋 宏爾,竹内 仁司,小長 英二,藤原 俊義
- 岡山医学会雑誌 123(1), 45-48, 2011-04-01
- … Distal gastrectomy was performed with precise preoperative anatomical analysis in order to confirm that there was no another anomaly, such as cardiovascular or congenital anatomical anomalies except for the inverted position of all of the viscera. …
- NAID 120002985742
- 腹腔鏡下幽門側胃切除術のクリニカルパス導入とその効果
- 成田 圭子,鷹島 久嗣,高野 早輝,飯田 正毅,杉山 令子,浅沼 義博
- 秋田大学大学院医学系研究科保健学専攻紀要 19(1), 93-99, 2011-03
- NAID 110008425424
Related Links
- ... (partial gastrectomy) or to the esophagus (total gastrectomy). Today, some surgeons perform gastrectomy using a camera. The surgery is done with a few small surgical cuts. The advantages of this surgery, which is called ...
- Gastrectomy Definition Gastrectomy is the surgical removal of all or part of the stomach. Purpose Gastrectomy is performed for several reasons, most commonly to remove a malignant tumor or to cure a perforated or bleeding ...
Related Pictures
★リンクテーブル★
[★]
- 英
- gastrectomy, gastric resection
- 関
- 胃切除
胃切除後の再建法
噴門側胃切除後
幽門側胃切除後
胃全摘術後
参考
[★]
- 関
- gastrectomy
[★]
腹腔鏡補助下胃全摘 LATG
[★]
腹腔鏡補助下胃切除術