What are the complications of gastric surgery

By | December 20, 2011

Gastrectomy is the surgical treatment of gastric cancer surgical methods used. Application is usually more proximal and distal gastrectomy and total gastrectomy and lymph node dissection. As the number of remaining remnant stomach and the presence of only a direct impact on patient diet digestion, absorption and nutritional disorders. However, sometimes of gastric cancer in a number of complications after surgery, the common complications of gastric cancer are the following:
(1), anastomotic leakage was anastomotic leakage of gastric cancer patients more serious complications. In recent years, due to improved surgical techniques and the application of stapler, the incidence of anastomotic leakage than low-intestinal anastomosis. The causes of this complication is tissue edema, malnutrition, lack of consistent technology and so on. Usually occurs 2-3 days after the leakage often caused by surgical technique, 7-9 days missed due to a combination of factors more than any other.
(2) bleeding
Postoperative anastomotic bleeding often due to bleeding, the cause often not fully seam stitching closed when the stomach blood vessels, especially in full-thickness sutures close too shallow or not the case. Bleeding came from a local hemostatic agents can be applied, can often be effective. Another common cause of bleeding stress ulcers, can diffuse that often appears as brown or dark red bleeding, sustainable 3-5 days, then pull slightly with Ogilvy & Mather, prothrombin complex, fibrin the original and other drugs can often be effective.
(3) gastroparesis
Complications of gastric surgery, gastric surgery gastric paralysis, can be caused by many factors, often the higher the total operation, the greater the likelihood there with vagotomy and tension related to changes in the stomach. Often occurs in the beginning after eating or diet changes, can absorb large amounts of gastric decompression, often more than 2000 ml / day, while accompanied by abdominal distension, nausea, abdominal discomfort, duration of ten days or two months can be If the color change or reduction of gastric juice, there are signs of recovery compared with the disease, patients may consciously really improves a sudden emptying of the stomach flu, drainage of gastric juice decreased significantly until the normal consumption.
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