Gastrectomy

A gastrectomy is a partial or full surgical removal of the stomach. The first successful gastrectomy was performed by Theodor Billroth in 1881 for cancer of the stomach. Gastrectomies are performed to treat cancer, severe cases of peptic ulcer disease, and perforations of the stomach wall. This procedure is becoming less common as peptic ulcers are now often treated with antibiotics for Helicobacter pylori or by endoscopy. 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.In the past a gastrectomy for peptic ulcer disease was often accompanied by a vagotomy, where the vagus nerve is cut to reduce acid production in the stomach. Nowadays, this problem is managed with proton pump inhibitors. (From the Wikpedia article Gastrectomy.)

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Recent Publications on Gastrectomy:
Advanced gastric cancer in the middle one-third of the stomach: Should surgenos perform total gastrectomy? BACKGROUND AND OBJECTIVES: To determine which optimal surgical procedure...	20th November, 2009	Department of Surgery, Korea University College of Medicine, Seoul, Korea.	J Surg Oncol. 2009 Nov 18. DOI Direct Link
Bone morphogenetic protein-2 levels are elevated in the patients with gastric cancer and correlate with disease progression. Bone morphogenetic protein-2 (BMP-2) was reported to enhance migration,...	20th November, 2009	Division of Hematology/Oncology, Department of Internal Medicine, College	Med Oncol. 2009 Nov 19. DOI Direct Link
Hospital Volume and Quality of Laparoscopic Gastrectomy in Japan. Background: Laparoscopic gastrectomy (LG) has become the prevailing...	20th November, 2009	Department of Health Care Administration and Management, Kyushu	Dig Surg. 2009 Nov 13;26(5):422-429. DOI Direct Link
Early Gastric Cancer: Clinical Characteristics and Results of Surgery. Background: Early gastric cancer (EGC) is associated with better prognosis...	20th November, 2009	Department of Surgery, Helsinki University Central Hospital, Helsinki,	Dig Surg. 2009 Nov 13;26(5):378-383. DOI Direct Link
Roux-en-Y Gastrojejunostomy Using Modified Hemi-Double Stapling. For reconstruction after distal gastrectomy, the Roux-en-Y...	20th November, 2009	Department of Surgery, Postgraduate School of Medicine and Medical	Dig Surg. 2009 Nov 13;26(5):364-368. DOI Direct Link
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BioNews Results for Gastrectomy:
Surgeons Endorse Sleeve Gastrectomy	Express Healthcare Management:  Nov 17 2009 7:26AM Matching: gastrectomy
Clinicopathological Characteristics of Remnant Gastric Cancer After a Distal Gastrectomy	MDLinx:  Nov 16 2009 2:03PM Matching: gastrectomy
Medical News: Post-Gastrectomy Acute Pancreatitis	Medical News Today:  Oct 19 2009 12:06PM Matching: gastrectomy
A Case of Post-Gastrectomy Acute Pancreatitis	MedIndia:  Oct 19 2009 10:39AM Matching: gastrectomy
Post-Gastrectomy Acute Pancreatitis	Medical News Today:  Oct 19 2009 4:17PM Matching: gastrectomy
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Gastrectomy Patents:
US Patent No.	Title
7167750	Obesity treatment with electrically induced vagal down regulation
7293563	Systems and methods for applying a selected treatment agent into contact with tissue to treat disorders of the gastrointestinal tract
7344535	Devices and methods for treatment of luminal tissue
7358060	Method for monitoring and prognosis of disease course of gastrointestinal tumors
7371721	Use of GLP-2 and related compounds for the treatment, prevention, diagnosis, and prognosis of bone-related disorders and calcium homeostasis related syndromes
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