RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127272033
T1 GASTRECTOMY, SUBTOTAL
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127272033
RD 2024/04/19
AB Subtotal  gastrectomy  is  indicated  in  the  presence  of  malignancy;  in  the  presence  of  gastric  ulcer  that  persists  despite  intensive  medical  therapy;  and  sometimes  in  the  presence  of  pernicious  anemia,  suspicious  cells  by  gastric  cytology,  or  equivocal  evidence  for  and  against  malignancy  by  repeated  gastroscopic  observation  with  direct  biopsy.  It  may  be  utilized  to  control  acid  secretion  in  cases  of  intractable  duodenal  ulcer.  A  more  conservative  procedure  should  be  considered  in  underweight  patients  with  duodenal  ulcer,  especially  females.  Likewise,  block  excision  of  a  gastric  ulcer  with  multicentric  frozen  section  studies  should  be  made  for  proof  of  malignancy  before  performing  a  radical  resection  on  the  assumption  the  lesion  may  be  malignant.