[Syndromes following resection and gastrectomy]

Surgical therapy of carcinoma of the stomach has to take into consideration the individual type and localization of the tumor. Total gastrectomy as a therapeutical principle must be rejected. The syndromes after partial resection are less inconvenient than after total gastrectomy. A resection in combination with a reflux-free Roux-en-Y anastomosis should be preferred. After partial resection prophylactic therapeutic measures are not indicated. Continuous postoperative supervision is necessary however. Reoperations after a preceding partial resection are successful in many cases. The fate of the patient and the five-year survival rate depend directly on the stage of the tumor at the time of operation. Palliative operations improve expectation and comfort of life of the patient with an incurable carcinoma.