Distal and subtotal gastrectomy

Distal and subtotal gastrectomy
Distal gastrectomy and subtotal gastrectomy are surgical procedures involving the removal of a portion of the stomach. These procedures are often performed to treat conditions such as gastric cancer, peptic ulcers, or other gastric diseases. While the terms are sometimes used interchangeably, there are subtle differences between them.

  1. Distal Gastrectomy:
  • Distal gastrectomy involves the removal of the lower part (distal portion) of the stomach. The surgeon typically removes the part of the stomach that is closest to the small intestine, which is called the antrum.
  • After distal gastrectomy, reconstruction is necessary to restore the continuity of the digestive tract. The reconstruction can be achieved using different techniques, such as the Billroth I, Billroth II, or Roux-en-Y procedures.
  1. Subtotal Gastrectomy:
  • Subtotal gastrectomy is a more general term that refers to the removal of a significant portion of the stomach. It can involve the removal of the distal portion (lower part) or the proximal portion (upper part) of the stomach, or even both.
  • Like distal gastrectomy, subtotal gastrectomy requires reconstruction after the removal of the stomach portion. The choice of the reconstruction method depends on factors such as the location of the disease, the extent of the gastric resection, and the surgeon’s preference.

In summary, distal gastrectomy is a specific type of subtotal gastrectomy that specifically targets the lower portion (distal end) of the stomach. Subtotal gastrectomy, on the other hand, is a more general term that can involve the removal of a significant portion of the stomach, whether it’s the upper, lower, or both parts.

The specific surgical approach depends on the patient’s condition, the location and extent of the disease, and the surgeon’s judgment. After these surgeries, patients may need to adapt their diet and lifestyle to accommodate the changes in their digestive system. It’s crucial for individuals undergoing these procedures to have thorough discussions with their healthcare team to understand the specific details of the surgery, potential risks, and postoperative care.