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Gastric Surgery

Dr. Patta Radhakrishna

Surgical GastroenterologyAdvanced Gastroenterology SurgeryDr. Patta Radhakrishna
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Gastric Surgery

Surgery for gastric ulcer:
Upper abdominal pain and vomiting are the common symptoms of a large gastric ulcer in the stomach. These ulcers are quite often healed by medication. In the case of massive bleeding of ulcers, transfusion of blood and sometimes surgery is required. Partial gastrectomy, also known as gastric surgery is done for ulcers.

Gastric Surgery

Surgery for duodenal ulcer;
The major causes of duodenal ulcers are bleeding or sometimes gastric outlet obstruction that leads to persistent vomiting. Surgery for this ailment will be in the form of gastrojejunostomy and truncal vagotomy.

Surgery for cancer of the stomach;
In Southern India, cancer of the stomach is quite common. The symptoms that are common to see in these cases include pain in abdomen, weight loss and vomiting. Sometimes, there are no symptoms at all and in that case an upper GI endoscopy is used for diagnosis. For the treatment of cancer of the stomach, surgery in the form of partial, total gastrectomy is required or a bypass followed by chemotherapy.

Bypass Gastric Surgery Gastric Sleeve Surgery

Surgery for corrosive injury of the stomach
Acid injury to the stomach can be caused due to accidental or suicidal ingestion of bathroom acid. This causes severe damage to the stomach that requires emergency or elective surgery on the stomach like bypass gastric surgery and gastric sleeve surgery.

Fundoplication for hiatus hernia:
Severe heartburn due to hiatus hernia will at times require surgical treatment. This surgery is performed in the form of a fundoplication in which a new valve is reconstructed at the junction between the food pipe and stomach.

Liver Surgery

Liver abscess:
Collection of pus in liver is quite common especially in those people who are alcoholic. This condition requires antibiotics and antiamoebic and repeated aspiration by pushing a needle into the liver under ultrasound guidance. Surgical intervention will be required in the case where some large abscesses are located in inaccessible areas of the liver, multiple abscesses and those threatening to rupture. Laparoscopy surgery which is minimal access surgery is enough for tackling most of the abscess. In this case, the recovery is very early. Patient sometimes also require opening of abdomen and draining the pus.

Liver cyst:
Simple cysts: In general terms, cyst of the liver is known as well encapsulated fluid collections. Congenital cysts are the most simple and their symptoms are the only source through which they get noticed. One of the most common symptoms of liver cyst is dull ache. They can usually be treated without surgery however; surgery becomes the only option in the form of deroofing of the cyst. An uncommon condition associated with polycystic kidney and sometimes pancreatic disease is polycystic liver disease. Laparoscopic puncture from time to time is required in the case of large symptomatic cysts.

Liver surgery

Hydatid cysts of the liver:
Hydatid cyst is a common liver affliction in India. It is a parasitic disease caused by a certain tape worm that is carried by domestic dogs. As compared to simple cysts, these are active cysts that keep on growing with time. Laparoscopic or open methods are the treatment for majority of these cysts. The treatment for these cysts is either a marsupialisation or a cysto-pericystectomy. Spillage of cyst contents can be risky sometimes as it can cause anaphylactic reaction and occasionally dissemination of hydatid disease.

Liver cancer:
A dreaded condition, cancer of the liver can affect both young and old people. Primary cancers of the liver originate in the liver. A risk of germinating cancer in the cells is there due to the damage of a cirrhotic liver by viruses.

The other cause of cancer in liver can be from different digestive organs in the abdomen. Secondary cancer deposits from colon cancer are amenable to liver resection.

Liver injury:
Laproscopy positively benefits the patients with liver injury. Through this, the extent of injury can be evaluated through which the decision of opening the abdomen for a definitive surgery can be taken.

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