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TOTAL GASTRECTOMY

TOTAL GASTRECTOMY Abstract BY DEFINITION total gastrectomy is the removal of the entire stomach along with a cuff of esophagus, above, and of duodenum, below. Such an operation has now become accepted as a recognized surgical procedure for the treatment of certain lesions of the stomach which cannot be dealt with adequately by partial or subtotal gastrectomy. The lesions which most often require complete gastrectomy are those carcinomas or lymphosarcomas which involve the greater part of the stomach. From the technical standpoint the small "leather bottle" stomach, or linitis plastica, due to a diffuse infiltrating scirrhous carcinoma, has generally been regarded as the type best suited to this operation. In addition, smaller malignant neoplasms situated in the upper half or upper third of the stomach are best treated by total gastrectomy. Large neurofibromas. or leiomyomas with or without sarcomatous degeneration which extend into the upper portion of the stomach are particularly favorable for References 1. Finney, J. M. T., and Rienhoff, W. F., Jr.: Gastrectomy , Tr. South. S. A. 40:424, 1927. 2. Allen, A. W.: (a) Carcinoma of the Stomach, with Special Reference to Total Gastrectomy , Ann. Surg. 107:770, 1938Crossref 3. (b) Total Gastrectomy for Carcinoma of the Stomach , Am. J. Surg. 40:35, 1938.Crossref 4. Allen, A. W.: Personal communication to the author, November 1946. 5. Lahey, F. H.: Complete Removal of the Stomach for Malignancy: Report of Five Surgically Successful Cases , Surg., Gynec. & Obst. 67:212, 1938. 6. Lahey, F. H., and Marshall, S. F.: Combining Splenectomy with Total Gastrectomy , Surg., Gynec. & Obst. 73:341, 1941 7. Indications for, and Experiences with, Total Gastrectomy, Based upon Seventy-Three Cases of Total Gastrectomy , Ann. Surg. 119:300, 1944. 8. Lahey, F. H.: Gastric Surgery , New England J. Med. 234:809, 1946. 9. Jones, T. E., and Kehm, R. W.: Total Gastrectomy: Report of Eight Cases , Surg., Gynec. & Obst. 80:534, 1945. 10. Pack, G. T., and McNeer, G.: Total Gastrectomy for Cancer: A Collective Review of the Literature and an Original Report of Twenty Cases , Internat. Abstr. Surg. 77: 265, 1943 11. in Surg., Gynec. & Obst. , (October) 1943. 12. Horsley, J. S.: Three Successful Cases of Total Gastrectomy , Virginia M. Monthly 70:549, 1943. 13. Graham, R. R.: Technique for Total Gastrectomy , Surgery 8:257, 1940. 14. Since the completion of this paper, total gastrectomies have been success. fully performed for cancer in 2 additional cases. 15. Farris, J. M.; Ransom, H. K., and Coller, F. A.: Total Gastrectomy: Effects upon Nutrition and Hematopoiesis , Surgery 13:823, 1943. 16. Colp, R., and Druckerman, L. J.: Palliative Gastrectomy in Selected Cases of Gastric Ulcer , Ann. Surg. 124:675, 1946. 17. Sweet, R. H., in discussion on Colp and Druckerman.12 18. Coller, F. A., and Valk, W. L.: The Delayed Closure of Contaminated Wounds , Ann. Surg. 112:256, 1940. 19. Haight, C., and Ransom, H. K.: Observations on Prevention and Treatment of Postoperative Atelectasis and Bronchopneumonia , Ann. Surg. 114: 243, 1941. 20. Conn, J. H., and Ricketts, W.: Unpublished data. 21. Walters, W.; Gray, H. K., and Priestley, J. T.: Malignant Lesions of Stomach: Importance of Early Treatment and End Results , J. A. M. A. 117: 1675 ( (Nov. 15) ) 1941. 22. Cheever, D.: The Operative Curability of Carcinoma of the Stomach , Ann. Surg. 78:332, 1923. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

TOTAL GASTRECTOMY

Archives of Surgery , Volume 55 (1) – Jul 1, 1947

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Publisher
American Medical Association
Copyright
Copyright © 1947 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1947.01230080016002
Publisher site
See Article on Publisher Site

Abstract

Abstract BY DEFINITION total gastrectomy is the removal of the entire stomach along with a cuff of esophagus, above, and of duodenum, below. Such an operation has now become accepted as a recognized surgical procedure for the treatment of certain lesions of the stomach which cannot be dealt with adequately by partial or subtotal gastrectomy. The lesions which most often require complete gastrectomy are those carcinomas or lymphosarcomas which involve the greater part of the stomach. From the technical standpoint the small "leather bottle" stomach, or linitis plastica, due to a diffuse infiltrating scirrhous carcinoma, has generally been regarded as the type best suited to this operation. In addition, smaller malignant neoplasms situated in the upper half or upper third of the stomach are best treated by total gastrectomy. Large neurofibromas. or leiomyomas with or without sarcomatous degeneration which extend into the upper portion of the stomach are particularly favorable for References 1. Finney, J. M. T., and Rienhoff, W. F., Jr.: Gastrectomy , Tr. South. S. A. 40:424, 1927. 2. Allen, A. W.: (a) Carcinoma of the Stomach, with Special Reference to Total Gastrectomy , Ann. Surg. 107:770, 1938Crossref 3. (b) Total Gastrectomy for Carcinoma of the Stomach , Am. J. Surg. 40:35, 1938.Crossref 4. Allen, A. W.: Personal communication to the author, November 1946. 5. Lahey, F. H.: Complete Removal of the Stomach for Malignancy: Report of Five Surgically Successful Cases , Surg., Gynec. & Obst. 67:212, 1938. 6. Lahey, F. H., and Marshall, S. F.: Combining Splenectomy with Total Gastrectomy , Surg., Gynec. & Obst. 73:341, 1941 7. Indications for, and Experiences with, Total Gastrectomy, Based upon Seventy-Three Cases of Total Gastrectomy , Ann. Surg. 119:300, 1944. 8. Lahey, F. H.: Gastric Surgery , New England J. Med. 234:809, 1946. 9. Jones, T. E., and Kehm, R. W.: Total Gastrectomy: Report of Eight Cases , Surg., Gynec. & Obst. 80:534, 1945. 10. Pack, G. T., and McNeer, G.: Total Gastrectomy for Cancer: A Collective Review of the Literature and an Original Report of Twenty Cases , Internat. Abstr. Surg. 77: 265, 1943 11. in Surg., Gynec. & Obst. , (October) 1943. 12. Horsley, J. S.: Three Successful Cases of Total Gastrectomy , Virginia M. Monthly 70:549, 1943. 13. Graham, R. R.: Technique for Total Gastrectomy , Surgery 8:257, 1940. 14. Since the completion of this paper, total gastrectomies have been success. fully performed for cancer in 2 additional cases. 15. Farris, J. M.; Ransom, H. K., and Coller, F. A.: Total Gastrectomy: Effects upon Nutrition and Hematopoiesis , Surgery 13:823, 1943. 16. Colp, R., and Druckerman, L. J.: Palliative Gastrectomy in Selected Cases of Gastric Ulcer , Ann. Surg. 124:675, 1946. 17. Sweet, R. H., in discussion on Colp and Druckerman.12 18. Coller, F. A., and Valk, W. L.: The Delayed Closure of Contaminated Wounds , Ann. Surg. 112:256, 1940. 19. Haight, C., and Ransom, H. K.: Observations on Prevention and Treatment of Postoperative Atelectasis and Bronchopneumonia , Ann. Surg. 114: 243, 1941. 20. Conn, J. H., and Ricketts, W.: Unpublished data. 21. Walters, W.; Gray, H. K., and Priestley, J. T.: Malignant Lesions of Stomach: Importance of Early Treatment and End Results , J. A. M. A. 117: 1675 ( (Nov. 15) ) 1941. 22. Cheever, D.: The Operative Curability of Carcinoma of the Stomach , Ann. Surg. 78:332, 1923.

Journal

Archives of SurgeryAmerican Medical Association

Published: Jul 1, 1947

References