Gastrectomy for treatment of peptic ulcer disease

The article is professionally consulted by Master, Doctor Nguyen Ngoc Thang - Gastroenterologist - General Surgery Department - Vinmec Danang International General Hospital.

Gastrectomy is the surgical removal of part or all of the stomach for the treatment of peptic ulcer disease, performed when medical treatments are no longer adequate, or when peptic ulcer disease – duodenum causes serious complications. However, like other types of surgery, gastric bypass surgery also has many dangerous complications.

Peptic ulcer is the collective name for inflammatory and ulcerative diseases that occur in the stomach and duodenum. The duodenum is the first part of the small intestine and is an important part of the digestive system.
The duodenum is defined from the pylorus of the stomach extending to the duodenal jejunum.
Manifestations of the disease are severe abdominal pain in the epigastrium, abdominal fullness, gnawing, pain may subside after eating but recur after a few hours.

Indications for surgery: are set out in cases of peptic ulcer with severe complications that cannot be treated medically. These are cases of ulcer with complications of perforation, heavy bleeding, pyloric stenosis and cancer.
Gastrectomy offers curative benefits, but it also carries some potential risks. Therefore, the physician must always carefully weigh the benefits and risks to make a final decision.

3.1. Open surgery Doctors will use special tools to make a long incision in the middle of the patient's abdomen, then perform a partial or full gastric resection depending on the disease condition and purpose. of surgery. This is a traditional gastrectomy method, which has the advantage of helping doctors perform the operation quite easily, but it leaves a large scar and has a high risk of complications.
3.2. Laparoscopic surgery Laparoscopic surgery is surgery that instead of making a long incision on the patient's abdominal wall, doctors will make small incisions, using a laparoscope with a camera, light source and specialized tools to to remove part or all of the patient's stomach. The advantages of the laparoscopic gastrectomy technique are that the incision is small, leaves less scars, less postoperative pain, and less complications of adhesions - intestinal obstruction after surgery compared with the traditional open surgery method.
This surgery is more advanced with a lower complication rate than open surgery. Your doctor may recommend laparoscopic gastrectomy to treat conditions of your stomach, including stomach cancer.

At Vinmec International General Hospital, with a team of experienced doctors and a system of modern medical equipment, it ensures complete sterility to meet strict standards for applying laparoscopic surgery. Gastrectomy in the treatment of diseases of the stomach and duodenum.
Master. Doctor Nguyen Ngoc Thang has 17 years of experience in the field of gastrointestinal and hepatobiliary surgery, and over 9 years of endoscopic interventional experience, especially the technique of endoscopic retrograde cholangiopancreatography. ERCP) with over 800 cases.