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Effects of Total Gastrectomy
Total gastrectomy almost always results in nutritional problems ( Fig. 43.1 ). Usually performed to attempt a curative procedure for carcinoma, total gastrectomy also may be done to treat trauma.
Effects of Total Gastrectomy.
Clinical Picture
After total gastrectomy, patients have great difficulty gaining weight, and most never regain their preoperative weight. Others may develop selected deficiencies. The clinical picture is a patient having difficulty gaining weight after surgery who may report postprandial fullness, anorexia, and nausea (rarely vomiting, with or without diarrhea).
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