Surgery of stomach ulcers: Preparation, recovery, long-term care

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Surgery of stomach ulcers (A.K.A. Ulcerative surgery, surgery of stomach ulcers or ulcer ulcers surgery) is the procedure for the treatment of ulcerative stomach disease.Surgery is used when ulcerative diseases of ulcers cause pain or bleeding, which does not improve with non-rigid therapy. Perforated ulcerative surgery is an urgent life intervention for heavy ulcers. The symptoms caused by their ulcer must improve after recovering from the procedure.

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What is the surgery of stomach ulcers?

Operation of ulcers: This is an operation to repair damage to theStomach caused by an ulcer. Stomach ulcer is erosion on the internal part of the gastric coating, and is also called peptic ulcer or stomach ulcer. It can develop slowly, and can have more than one at a time.

Approaches used in the surgery of stomach ulcers,Include:

  • laparotomy: Open procedure with a large cut in the stomach
  • strong> minimally invasive Landparaoscopic : includes a small incision of the abdomen and surgical user equippedfor visualization and repair
  • endoscopic procedure : flexible tube is inserted into the throat and expanded in the stomach,To restore ulcers to help the camera and surgical music tools

Types

The selected one depends on the surgical technique used.There are several, and you and your health care provider will discuss these options in advance to determine what may be appropriate and better if applicable.

GRAHAM patch

With this technique, an Oentum patch (fatty tissue, which usually covers the stomach and intestines) is transmitted to cover the resulting orifice To a small ulcer. This patch is delayed in its place.

This technique can be done with open or laparoscopically laparotomy.

Partial Gastrectomy

With partial gastrectomy, small stomach area is cut when The ulcer is eliminated on the stomach.This procedure is used when the ulcer is large and deep.

A hole forming in the stomach after the ulcer is carried out, then closed surgically;If the ulcer would be located near the intestine of twelve days (opening of the slim intestine), the stomach must reconnect to the small intestine .

is usually open laparotomy and can be Make laparoscopically.

wagotomy

Wagotomy is a surgical procedure in which or more branches A> vagus nerve cut or deleted. This is done to reduce gastric acid, whose assignment is stimulated by the error nerve and can aggravate an ulcer.

Wagotomy is rarely carried out independently and is generally part of a procedure that includes another surgical intervention.For example, this can be done with a hole pyloroplasty warning between the stomach and duodenum, so the content of the stomach may be in general.

The surgical method used for wagotomy depends on other interventions that are executed, but this can be done with open or laparoscopic laparotomy.

Contraindications

There are several questions that can prevent it from liberating the operation of the ulcers.

You can not have this operation if the stomach ulcer is very large or is not repaired with the operation.

Sometimes, a chronic disease, such as the disease, Crohn can make you susceptible to recurrent ulcers, and surgical treatment can not be a final therapeutic approach.

Advanced If you have serious illnesses such as cancer, you may not be able to support the operation; This may be contraindicated for the procedure.

Potential risks )

These procedures can cause immediate surgical complications or can lead to a delay of digestive problems.Some direct complications are associated with unplanned surgical events, while deferred problems are generally associated with structural changes that are an integral part of the therapeutic procedure.

Operational complications may include infections, bleeding, new drilling or damage to the esophagus, stomach or small intestine.

These problems can cause:

Excessive postoperative inflammation can cause gastrointestinal obstruction, with pain, stretching the abdominal cavity (abdomen edema), heavy constipation , as well as vomiting.

Purpose of stomach ulcers surgery

Peptic ulcers can cause pain, stomach discomfort, cramping in the abdomen, decline in appetite, hematenes, intestinal gastrointestinal graduate, iron deficiency anemia (type of erythrocyte deficiency) and malnutrition.

As a general rule, the condition can be treated effectively with medications and lifestyle images, and not with surgery.Smoking and drinking alcohol can contribute to stomach ulcers, and stop these habits can help ulceration to heal. Sometimes, modifications of the diet power , for example, can help control symptoms.

Treatment for stomach ulcers include inhibitors of the proton pump (PPI) and antibiotics to eradicate Helicobacter pylori , in bacteria that are generally associated with ulcer the stomach.

Surgical control may be necessary for complications of peptic peptic ulcer diseases at ulceration or for the treatment of ulcerative stomach disease, which does not improve, despite conservative management.

Questions that can guarantee surgical interference for the treatment of ulcerative ulcerative intervention, include:

  • Drilling: Ulcers can form a hole in the stomach wall.It is dangerous for the complications of life that lead to the leakage of digestive juices, food and bacteria of the stomach in the abdominal cavity. The perforated ulcer causes sudden, severe abdominal pain, and can lead to fever, abundant bleeding, dangerous blood chemistry anomalies and loss of consciousness.
  • Bleeding: Bleeding ulcers can manifest with blood on a chair (it may seem bright or black) and / or hemamples. It can be painful or painless.As a general rule, bleeding ulcer is treated with endoscopic repair, and if bleeding is abundant and sudden, emergency surgery may be required.
  • Output stomach obstruction ‘.These problems reduce the stomach so that its content can not pass. They include vomiting and abdominal pain. The output of the stomach can be facilitated with the higher endoscopy or the surgical procedure, and the ulcer will be processed simultaneously.
  • Refractory or recurrent illness: Stomach ulcers that are not Improve or worsen, despite non-rigorous treatment, may require surgical intervention.Sustainable, unmarried ulcers can be caused by a disease of the production of stomach-liquid, similar to desire, such as syndrome zollinger-ellison or by erosion of stomach coating due to gastric cancer.

These problems can cause constant and severe health problems. The surgery of the stomach ulcers will be made to facilitate its symptoms and prevent consequences for its general health.

Call your healthcare provider or 911 if you experience a sign of medical care.

How to cook

Before your surgery, your professional will receive image checks to help plan your procedure.This may include non-invasive tests, as well as the visualization obtained with endoscopy. You will also have blood tests, such as Cline Combal Chaare (CBC) to evaluate it for anemia .

When preparing for surgery and anesthesia, it must have an electrocardiogram (EKG) , X-ray X-rays and chemistry panels in the blood .Medical problems may be required, such as anemia or abnormal levels of electrolyte (such as modified calcium or potassium), may be necessary to correct before you can move on to your operation.

Your health care provider will also discuss surgical technique with you and will explain it if you have a surgical incision and a postoperative scar.

Location

Open laparotomy or laparoscopic procedure will be done in the room of operations at the hospital or surgical center.

The endoscopic operation will be carried out in an operating or procedure hatch, any of which may be in the hospital or surgical center.

What to use

You must use something suitable for your destination surgery.Make sure you have clothes that do not have a tight waist to take home on the road.

In addition, you can have a surgical channel if you have a laparoscopic operation, so better if you wear clothing with easy access to your abdominal area (avoid dresses, think about a free shirt or one button).

.

Your health care provider You can set up some of your medications per day or week to your ulcer operation. For example, it may be aimed at changing the dose or stopping the blood diluents it takes.And you may also need to adjust the dose of anti-inflammatory drugs, diabetes or treatment drugs that accept diseases from peptic ulcer.

What to bring

When you go to the assignment of the operation, you must take the personal identification form, your information Insurance and payment method, if you are responsible for paying some or all costs of your operation.

You must also have someone with you, which can deliver it to your home, because you can not mount at least a few days after the operation.

Previous lifestyle changes

Before your surgery, your provider Medical care advises you avoid smoking and drink alcohol so that your ulcer is not yet upset.You can also instruct the use of things that can aggravate the peptic ulcer, such as spicy products or acids.

What to expect on the surgery day

When you go to the appointment of the operation, the consent form will be recorded and signed. You can have some pre-operative tests before changing to a pre-surgical area.These tests may include X-ray X-rays, CBC, blood chemistry panel and urine test .

You will be asked to change to the hospital dress. It will also have its temperature, blood pressure, impulse, respiratory level and the oxygen level.

If you have a surgery of stomach ulcers for an emergency, such as drilling, your preparation will be quickly. You will have to have fluid IV and, possibly, blood transfusion during this period.

Before operation

BEFORE From its procedure begins, you will have a specific preparation and anesthesia that matches the type of procedure it has.

  • IV SEDITATION : This is used for the endoscopic procedure. For this type of sedation, you will have anesthetic medications introduced into your IV so you can be able to sleep.Its pulse, blood pressure, respiratory rate and oxygen level will be controlled from start-end. You can fall asleep before or during surgery.In addition, if you have an endoscope placed in your mouth, oral anesthetic medicine (mouth and throat, usually through spray) will be used to facilitate any discomfort.
  • General anesthesia: is used if you have an open laparotomy or a minimum invasive laparoscopic procedure. General anesthesia includes an injection of anesthetic medicines IV that would lend to sleep, reduce your feeling and prevent it from moving.For this type of anesthesia, you will have a test tube placed in the throat so you can breathe with mechanical help during surgery.

If you have an open laparotomy or a minimally invasive laparoscopic surgery.The curtain will be placed in your body. The closing area of your skin will be exhibited where the incision will be placed. Your skin will be cleaned before the operation.

These steps are not necessary before endoscopic surgery of stomach ulcers.

During the operation

Your surgical procedure will start after the steps preparation. The following steps will depend on what technique Use your surgeon to treat your peptic ulcers.

Endoscopic surgery: step by step

If you have an endoscopic operation, after sleeping, an endoscope is moving gently through the mouth and the Esophagus in the stomach. You should not feel any discomfort during this process.

Your health care provider may see your ulcer and surrounding structures on the monitor using an endoscopic camera.Surgical instruments that are inserted through an endoscopic device will be used to treat and control ulcerative bleeding.

Various tools, including clamps, electric migration and injection agents are used to stop bleeding and prevent recurrent bleeding.

When processing is completed, the endoscope is deleted.

Laparoscopic surgery: step by step

for the laparoscopic procedure, its surgeon will make a small incision of the skin, which is approximately two inches long.Then they will cut into the peritoneum (abdomen membrane lining) and the fat that covers its stomach and intestine. Its surgeon will also reduce the small hole in the stomach.

Your surgeon will continue its surgery, which may include a summary of your abdominal nerve, reducing an ulcer and repair of the belly, or correcting an ulcer with a healthy cloth. This process includes placing seams and bleeding control.

After the stomach ulcer is surgically seen, its surgeon will close peritone and leather. It can be a surgical drain placed in its peritoneum or stomach and extended out of your body to collect blood and liquid when cured.

open laparotomy: step by step

for an open ulcer ulcer, its Surgeon makes a cut that measures three or six inches. They will also cut their peritone and stomach, close to their ulcerative disease.

Its operation can include a resume from your ulcer and holding the abdomen, which opens up to the opening of your small intestine, surgically closes the newly created opening in the stomach or store healthy fabric to fix your ulcer.

After repair, drainage can be placed, and its peritone and skin will be closed with seams.

As soon as your operation is completed, your surgical wound will be covered with the dressing.It will stop your anesthesia medications, and your breathing tube will be eliminated. When it remains stable from a medical point of view and breathe well, you will go to the postoperative recovery area.

After surgery

In the recovery area, your medical team will control your health, including your pain or discomfort, liquid in Stoke, and if you are passing gas.It will be appreciated for signs of complications, such as hemamples, vomiting and heavy abdominal pain.

In a few hours, you will be asked to drink clean fluids. Your medical team will ask you to slowly promote your food and drink liquid.You will have to eat hard foods, like a cookie, without experiencing any pain or vomiting before home.

  • We live any complication, you will probably go home on the day of your procedure if you have endoscopically your whisper surgery.
  • Open laparotomy or laparoscopic surgery generally includes a night stay in one or two days.

If you develop problems (for example, intense pain or vomiting), since your diet is moving, it is possible that Need an additional evaluation.

Before downloading, your medical team will discuss the promotion of your diet, pain control and how to take care of the table and hurt (if applicable). You will be given a guide on topics when planning subsequent meetings with your health care provider.

Recovery

After surgery for stomach ulcers, you will need time to cure completely.You will have to gradually promote your diet, and the rhythm that can be done depends on the type of operation you have, and its tolerance for food.

For example, your health care provider may advise you drinking clean fluids during a certain amount of time and then advancing towards soft foods when it is clear that it allows a previous step.

As a general rule, your recovery will be faster and easier after endoscopy, and more gradually, if you have laparoscopy, with a longer recovery, if you have an open laparotomy.The need for runoff generally corresponds to a slower recovery.

Any direct postoperative complication, such as infection or extensive edema, can extend full recovery.

Healing

If you have a wound and drain, you must make sure you worry about them as confident while you were healed . It means keeping them dry and clean when you bathe.

You will receive a recipe for pain preparations that should be used according to the instructions. You can also get prescription drugs and dietary instructions to control constipation.

When calling your health care provider

Complications warning signs to monitor the inclusion of the following.Notify them with your doctor to find out what are the following steps to accept:

  • fevers or chills
  • vomiting (blood or without or without or without)
  • Blood on the blood stool
  • non-passing chair
  • painstomach
  • redness, edema, or cutting pus
  • Cloudy or bloody liquid in the cream

How restored after the operation, it can be sick,Especially if your operation was not an endoscopic procedure. It is better not to push yourself when it comes to physical activity.

You can get up and walk, but do not run and do not raise heavy items, while your wound will not cure completely, and your lingot is eliminated.

Long-term care

You may need to take antacid medications if you It has problems with a stomach disorder or stomach acidity.Sometimes, taking medications can prevent another ulcer from developing, and your health care provider will advise you around you according to your risk of developing other ulcer.

Possible future operations

As a general rule, stomach ulcers surgery should not lead to future procedures.If you are developing problems such as obstruction or postoperative drilling, you may need another operation to treat these problems.

Lifestyle settings

After the stomach of surgery the ulcers that can benefit from adjusting their diet and habits for long term.This may include constantly avoiding smoking and alcohol, as well as acidic and spicy products.

If you have a problem with the gastrointeous motorcycle, your health care provider may advise you to eat small, frequent and non-large dishes, to Avoid swelling or nausea.

Word of the Meds information received

The management of surgical diseases of ulcerative disease is not the most common therapeutic approach to the treatment of condition.It is used to treat perforated ulcers or complicated ulcer disease. Perhaps it may be necessary to make some diet adjustments and lifestyle in advance and after the operation to maximize the advantages.

Frequently asked questions

  • The risk factors for peptic ulcers include the Excessive use of alcohol, non-steroidal anti-inflammatory drugs (NSAIDs) Use, use of tobacco, serious illness,The history of radiotherapy and stress.

  • The peptic reads do not cause pain in all people, and the location may vary depending on the person, but generally manifests itself in the upper average stomach.

  • If the symptoms indicate that the symptoms indicate the disease of peptic disease in peptic, such as stomach acidity, swelling and nausea,The health care provider wants to execute several tests to confirm the possible diagnosis of . These tests may include blood tests, urea breathing test, test chairs, endoscopy, top GI series and computed tomography.

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