What is resection?
For some diseases of the gastrointestinal tract, gastric resection may be necessary. What it is?
This term in medicine denotes a surgical operation to remove a part of the stomach that has undergone pathological changes.
Essence of the operation
In fact, during resection of the stomach, a significant part of this organ is removed - from 1/4 to 2/3 of its volume. The indications for such a radical action are:
- malignant tumor (stomach cancer);
- cicatricial stenosis;
- the presence of precancerous polyps;
- non-healing gastric ulcer, the treatment of which did not produce results, or perforation of the ulcer.
In some cases, this method is used to combat severe obesity.
Basic methods and technique of operation
During the operation, the affected area of the stomach is removed, and the continuity of the gastrointestinal tract is restored. It happens in two ways.
- It consists in connecting the stomach stump with the duodenum by anastomosis (according to the principle “end to end”). This method is called the resection of the stomach according to Billroth I (named after Theodore Billroth - an outstanding German surgeon who first performed this operation in 1881).
- Stomach resection for Billroth II (proposed by the same doctor) - consists in imposing an anterior or posterior gastroenteroanastomosis between the stump of the stomach and the jejunum and has several classifications (according to the principle “end to side”, “side to side”, “side to end”) .
The operation is performed under general anesthesia, its average duration is 2, 5-3 hours. After 2 weeks, the sutures are removed, and a full recovery occurs in 3-6 months (depending on the extent of the lesion and the volume of the removed part of the organ). The patient is prescribed a special diet for the duration of the rehabilitation period.
Diet after stomach resection
After surgery for gastrectomy, problems may arise with the digestion of food, therefore, after this surgical intervention, a special meal should be organized, divided into several stages.
In the first days after surgery, the patient is assigned fasting. Power is supplied through droppers, then a probe is used. Compotes, teas and decoctions are allowed.
On the 3rd-4th day, on the condition of positive dynamics, mucous soups, soft-boiled eggs, fish and meat puree, soft cottage cheese and other easily digestible products are added, which the patient consumes independently.
On the 5th-6th day, you can add porridge, a small amount of well-grated vegetables, steamed omelets to the menu.
A week after the operation (if all this time the food was assimilated well and there were no problems), you can proceed to an expanded ration of a sparing type. In the next two weeks to restore digestion should:
- low-fat meat and fish dishes with high protein content;
- foods that contain complex carbohydrates, such as cereals, unsweetened fruits, vegetables, and grains.
Limit or even eliminate:
- light carbohydrates - sugar, baking, confectionery products;
- industrial and homemade juices;
- canned foods;
- products containing refractory fats (for example, lamb meat).
Food should not contain food additives, colors, flavors and preservatives.
In addition to the selective products on the menu, all dishes during the diet should be prepared using gentle technology. They can be boiled, baked or steamed. Solid products to wipe, chop meat, give preference to various mashed potatoes (from meat, fish, potatoes, etc.) Such nutrition must be adhered to from 4 months to six months. You should eat in small portions up to 6 times a day.