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Abstract

The major indications for gastric surgery are ulcer disease, cancer, and access for feeding (gastrostomy placement). This chapter begins with considerations relevant to those three indications. A brief discussion of alternative choices for a drainage procedure after gastric resection for benign disease or malignancy follows. The chapter concludes with a section on complications. This final section details recognition and management of various postgastrectomy and postvagotomy syndromes.

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References

  1. Freston JW. Management of peptic ulcers: emerging issues. World J Surg 2000; 24: 250.

    Article  PubMed  CAS  Google Scholar 

  2. Hopkins RJ, Girardi LS, Turney EA. Relationship between Helicobacter pylori eradication and reduced duodenal and gastric ulcer recurrence: a review. Gastroenterology 1996; 110: 1244.

    Article  PubMed  CAS  Google Scholar 

  3. Johnson HD. Gastric ulcer: classification, blood group characteristics, secretion patterns, and pathogenesis. Ann Surg 1965; 162: 996.

    Article  PubMed  CAS  Google Scholar 

  4. Jamieson GG. Surgery for peptic ulcer disease in the era of HZ receptor blockers. Dig Dis 1989; 7: 76.

    Article  PubMed  CAS  Google Scholar 

  5. Dempsey DT, Ritchie WP. Gastric ulcer. In: Ritchie WP (ed) Shackelford’s Surgery of the Alimentary ract, vol II, 4th ed. Philadelphia, Saunders 1996.

    Google Scholar 

  6. Millat B, Fingerhut A, Borie F. Surgical treatment of complicated duodenal ulcers: controlled trials. World J Surg 2000; 24: 299.

    Article  PubMed  CAS  Google Scholar 

  7. Tung WSP, Strasberg SM. Peptic ulcer disease. In: Laparoscopic Surgery Principles and Practice, 1st ed. St. Louis, Quality, 1997.

    Google Scholar 

  8. Gauderer MWL, Ponsky JL, Izant RJ. Gastrostomy without laparotomy: a percutaneous endoscopic technique. J Pediatr Surg 1980; 15: 872.

    Article  PubMed  CAS  Google Scholar 

  9. Murayama KM, Schneider PD, Thompson JS. Laparo 20. scopic gastrostomy: a safe method for obtaining enteral access. J Surg Res 1995; 58: 1.

    Article  PubMed  CAS  Google Scholar 

  10. Hartgrink HH, Bonenkramp HJ, van de Velde CJH. Influence of surgery on outcomes in gastric cancer. Surg 22. Oncol Clin North Am 2000; 9: 97.

    CAS  Google Scholar 

  11. Bozzetti F, Marubini E, Bonafanti G, et al. Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial: 23. Italian Gastrointestinal Tumor Study Group. Ann Surg 1999; 230: 170.

    Article  PubMed  CAS  Google Scholar 

  12. Harrison LE, Karpeh MS, Brennan MF. Proximal gastric cancers resected via a transabdominal only approach: results and comparisons to distal adenocarcinoma of the stomach. Ann Surg 1997; 225: 678.

    Article  PubMed  CAS  Google Scholar 

  13. Meyer HJ, Jaime J. Lymph node dissection for gastric cancer. Semin Surg Oncol 1999; 17: 117.

    Article  PubMed  CAS  Google Scholar 

  14. Cuschieri A, Fayers P, Fielding J, et al. Postoperative morbidity and mortality after D1 and D2 resections for gastric cancer: preliminary results of the MRC randomized controlled surgical trial. Lancet 1996; 347: 995.

    Article  PubMed  CAS  Google Scholar 

  15. Bonenkamp JJ, Hermans J, Sasako M, van de Velde CJH. Extended lymph node dissection for gastric cancer. N Engl J Med 1999; 340: 908.

    Article  PubMed  CAS  Google Scholar 

  16. Kitamura K, Nishida S, Ichikawa D, et al. No survival benefit from combined pancreaticosplenectomy and total gastrectomy for gastric cancer. Br J Surg 1999; 86: 119.

    Article  PubMed  CAS  Google Scholar 

  17. Kennedy T, Johnston GW, Love AHG, et al. Pyloroplasty versus gastrojejunostomy: results of a double-blind, randomized controlled trial. Br J Surg 1973; 60: 949.

    Article  PubMed  CAS  Google Scholar 

  18. Vogel SB, Drane WE, Woodward ER. Clinical and radionuclide evaluation of bile diversion by Braun enteroenterostomy: prevention and treatment of alkaline reflux gastritis: an alternative to Roux-en-Y diversion. Ann Surg 1994; 219: 458.

    Article  PubMed  CAS  Google Scholar 

  19. Aronow JS, Matthews JB, Garcia-Aguilar J, et al. Isoperistaltic jejunal interposition for intractable postgastrectomy alkaline reflux gastritis. J Am Coll Surg 1995; 180: 648.

    Google Scholar 

  20. Delcore R, Cheung LY. Surgical options in postgastrectomy syndromes. Surg Clin North Am 1991; 71: 57.

    PubMed  CAS  Google Scholar 

  21. Miedema BW, Kelly KA. The Roux operation for postgastrectomy syndromes. Am J Surg 1991; 161: 256.

    Article  PubMed  CAS  Google Scholar 

  22. Malagelada JR, Phillips SF, Shorter RG, et al. Postoperative reflux gastritis: pathophysiology and long-term outcome after Roux-en-Y diversion. Ann Intern Med 1985; 103: 178.

    Article  Google Scholar 

  23. Ritchie WP Jr. Alkaline reflux gastritis: an objective assessment of its diagnosis and treatment. Ann Surg 1980; 192: 288.

    Article  PubMed  Google Scholar 

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© 2002 Springer Science+Business Media New York

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Grabowski, M.W., Dempsey, D.T. (2002). Concepts in Surgery of the Stomach and Duodenum. In: Chassin’s Operative Strategy in General Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-22532-6_24

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  • DOI: https://doi.org/10.1007/978-0-387-22532-6_24

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-4744-7

  • Online ISBN: 978-0-387-22532-6

  • eBook Packages: Springer Book Archive

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