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Total gastrectomy for benign disease.

S Gustavsson, K A Kelly

    The Surgical Clinics of North America
    |June 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Total gastrectomy for benign diseases has significant operative mortality and morbidity. However, long-term outcomes show most patients maintain good health, making it a reasonable option when less extensive surgeries are insufficient.

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    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Abdominal Surgery

    Background:

    • Total gastrectomy is a major surgical procedure.
    • Its use for nonmalignant conditions requires careful consideration of risks and benefits.

    Purpose of the Study:

    • To evaluate the operative mortality, postoperative complications, and long-term outcomes of total gastrectomy for benign diseases.

    Main Methods:

    • Retrospective analysis of 37 patients undergoing total gastrectomy for nonmalignant conditions.
    • Assessment of operative mortality, morbidity, and long-term follow-up data.

    Main Results:

    • Operative mortality was 4% for elective and 10% for emergency procedures.
    • Major complications occurred in 24% of patients.

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  • Long-term follow-up (mean 8.4 years) showed 73% of survivors had mild symptoms and good functional capacity, though 15% body weight loss, weakness, diarrhea, and anemia were noted in about one-third and one-quarter of patients, respectively.
  • Conclusions:

    • Total gastrectomy is a viable option for benign diseases when less invasive procedures are not feasible.
    • The substantial risks necessitate its use only when absolutely indicated.