The key types of partial gastrectomy are:
For both, preoperative preparation of the patient is important and involves:
After general anaesthesia, the region is approached by a midline epigastric or right upper paramedian incision. After a general inspection to define the site of any peptic lesion, the gastrointestinal tract is quickly surveyed for concomitant disease.
Post-operatively, a nasogastric tube may be used to warn of haemorrhage from a suture line. Initial IV fluids are followed by oral fluids after 24-48 hours and then a liquid diet for the subsequent week.
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