Gastrectomy: Stomach Removal Surgery

Our Lee Health Surgical Oncology team offers gastrectomy, a life-saving procedure for individuals at high risk of or diagnosed with stomach cancer. Gastrectomy may also be performed for certain non-cancerous medical conditions, providing patients with renewed health and peace of mind.

Gastrectomy is the surgical removal of the stomach. For some individuals, such as those with Hereditary Diffuse Gastric Cancer (HDGC) caused by a CDH1 gene mutation, this surgery can be a preventive measure to reduce the risk of developing this aggressive cancer. HDGC is particularly challenging to detect early because cancer cells are diffusely scattered throughout the stomach.

The Gastrectomy Procedure

• Preventive Surgery (Prophylactic Total Gastrectomy): Recommended for individuals with the CDH1 gene mutation to prevent the development of HDGC.
• Treatment for Stomach Cancer: Total gastrectomy is often part of the treatment plan for patients with other forms of stomach cancer.
• Non-Cancerous Conditions: In some cases, gastrectomy may be necessary to treat non-cancer-related medical conditions.

Reconstruction After Gastrectomy

After the stomach is removed, the digestive system is reconstructed using a procedure known as Roux-en-Y reconstruction. This ensures that patients can continue to digest food and maintain proper nutrition after surgery.

The Surgery

• Gastrectomy typically takes 4-5 hours, followed by a hospital stay of 7-10 days. After surgery:
• Food and drink may be withheld for 3-5 days to allow healing.
• An X-ray test ensures the surgical connections are secure before resuming eating and drinking.
• Recovery during the first 2-4 weeks can be challenging, with possible discomfort while eating.
• A temporary feeding tube may be inserted to provide nutritional support.

Life After Surgery

Adjusting to life without a stomach takes time and effort. The body adapts to the changes, and most patients achieve a “new normal” over time. Key aspects of recovery include:

• Dietary Adjustments: Eating 6-8 small meals daily, avoiding high-sugar foods, and drinking fluids separately from meals.
• Managing Symptoms: Symptoms such as nausea, heartburn, and dumping syndrome (rapid food movement into the small intestine) are common but manageable through dietary changes and portion control.
• Nutrition and Supplements: Monthly B12 shots, vitamin supplements, and a nutrient-rich diet are essential for long-term health.

Patients typically experience significant weight loss initially, but with proper nutrition, many regain energy and return to active lifestyles, including competitive sports. Learn more about dietary plans from the cancer nutrition counseling team.

The Benefits of Gastrectomy

Gastrectomy is often curative for HDGC, eliminating the risk of stomach cancer for patients with a CDH1 gene mutation. Though the journey to recovery takes time, most individuals adapt well and enjoy a full, healthy life without the burden of cancer.

Expert Care at Lee Health

At the Lee Health Cancer Institute, our experienced surgeons use advanced techniques to perform gastrectomy with the utmost precision and care. We understand the physical and emotional challenges associated with this procedure and are dedicated to supporting our patients every step of the way, from surgery to recovery.

Why Choose Lee Health?

Our team of specialists provides compassionate, patient-centered care tailored to each individual’s needs. Whether you’re undergoing gastrectomy for cancer prevention, treatment, or another condition, we’re here to ensure the best possible outcome and quality of life.

If you or a loved one is considering gastrectomy, contact Lee Health to learn more about this procedure and how we can support your health journey.