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Gastrectomy Essay

820 words - 4 pages

Digestion
Having a subtotal gastrectomy comes with many lifestyle changes. There will be many struggles and issues that the patient will have to overcome, involving the digestion and absorption of foods, after the surgery is performed. Some of these issues include: dumping syndrome, vitamin and mineral malabsorption, and also changing eating habits drastically.
This first issue is dumping syndrome. Dumping syndrome is named from the effect of food being "dumped" too quickly into the intestines, resulting in symptoms such as dizziness, cramping, nausea and diarrhea2. This usually begins 15-30 after eating1. This syndrome occurs because the stomach, after the surgery, cannot withstand the ...view middle of the document...

People who undergo a total gastrectomy would have to change their eating habits drastically. After having surgery, the body will not allow overeating or eating certain things. It is suggested that instead of eating three large meals to eat several small ones to prevent overeating2. Also, after surgery, consuming clear liquids and soft low-fiber foods are suggested3 .
During the gastric bypass surgery the surgeons create a pouch by cutting, then stapling the upper portion of the stomach1. The pouch created is the size of a small egg1. Next, they will measure 100-150 cm of small bowel then cut, staple, and reconnect the small bowel to the pouch1. Finally, they reconnect the small bowel to the lower portion of the small bowel so when the surgery is complete the large stomach will empty juices containing bile from the gallbladder and enzymes from the pancreas into the small bowel1.
Another type of bariatric surgery is the LAP-BAND. To begin this surgery the surgeon creates a small 1cm incision in the abdominal area to place around the upper part of the stomach5. The concept of this type of surgery is to create a pouch in the upper region of the stomach that contains an adjustable and controlled stoma, that does not include stapling to limit the food intake5. The band that is placed around the stomach has a balloon on the inside that helps control fullness5. The LAP BAND procedure can take...

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