Ulcer surgery
Surgery is used in some complications:
- The gastrectomy removes the ulcer and a large part of the gastric antrum, where gastrin is secreted. The restoration of intestinal continuity is by gastroduodenal anastomosis or gastro-jejunal.
- Vagotomy suppresses gastric secretion by the original section of the vagus nerve but has the drawback of the motor paralysis of the stomach that can not be empty: there is indeed a spasm of the pylorus. It is therefore mandatory to ensure the emptying of the stomach paralyzed by pyloroplasty or gastroenterostomy.
- The only selective vagotomy divides the nerve fibers for the stomach and limits the adverse consequences in the liver and gall bladder section of vagus nerves. The nerve branches for other neighboring organs are respected. A gesture of drainage of the stomach is also required (pyloroplasty or gastroenterostomy).
- The hyperselective vagotomy has gradually replaced these techniques: the surgeon divides the only vagus nerve for the nerve control of acid secretion. This action complies with the nerves that provide motility of the stomach and the gastric emptying response is unnecessary. The effects are minimal, ther is a very low mortality (0.3%). The recidivism rate is 10%
.
What is the possible development of a stomach ulcer?
It is similar to that of duodenal ulcer, but differs in the risk of cancer. Cancerization is rare, and it is difficult to distinguish it from an ulcerated gastric cancer.
The endoscopy allows to see peptic ulcers and to do a biopsy of the walls of the ulcer.
Ulcer surgery pictures
Ulcer surgery treatment
After eradication, the ulcer does not recur.
The lifestyle advice is important:
- Physical and mental rest;
- Final, or at least reduce cigarette consumption. Anyway, do not smoke after the last dose of medication in the evening.
- Limit alcohol consumption;
- Decrease the amount of coffee;
- Avoid taking aspirin or other anti-inflammatory drugs
