RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187820878
T1 Gastrectomy, Subtotal
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187820878
RD 2024/04/24
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  used  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  done  for  proof  of  malignancy  before  performing  a  radical  resection  on  the  assumption  that  the  lesion  may  be  malignant.