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 1187820974
T1 Total Gastrectomy
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=1187820974
RD 2024/04/18
AB Total  gastrectomy  may  be  indicated  in  treating  extensive  stomach  malignancies.  This  radical  procedure  is  not  performed  when  carcinoma  with  distant  metastasis  to  the  liver  or  pouch  of  Douglas  or  seeding  throughout  the  peritoneal  cavity  is  present.  It  may  be  performed  in  association  with  extirpation  of  adjacent  organs,  including  the  spleen,  body  and  tail  of  the  pancreas,  or  a  portion  of  the  transverse  colon.  It  is  also  the  procedure  of  choice  for  patients  with  hereditary  gastric  cancer  syndrome  and  in  controlling  the  intractable  ulcer  diathesis  associated  with  non–beta  islet  cell  tumors  of  the  pancreas  when  pancreatic  tumor  or  metastases  remain  that  cannot  be  controlled  medically.