GASTRECTOMY

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Do you know you can survive and live long without your stomach? funny right, well science and reason has made it very possible for people to live healthy and normal without need for their stomach. if the presence of your stomach becomes very threatening to your life as an individual as a result of complications such as stomach/gastric ulcers or cancer, it becomes very necessary to do what is needed and in this case, it is the total or partial removal of your bread basket depending on the severity of the complication.

                                                          fig1.1.stomach
the stomach is a major  organ of digestion capable of performing functions like; food break down through its contraction and relaxation (churning), digestion of proteins, storage of food, secretion of gastric enzymes, E.T.C 


Gastrectomy is the partial or total removal of the stomach as a result of severe stomach ulcer or stomach cancer that has become life threatening. 





                                                             fig1.2. Gastric cancer

                                                          fig1.3. Gastric ulcer
     In the case of a severe stomach ulcer or cancer, it looses its function and a total or partial    gastrectomy is performed based on the severity.
The most  common forms of gastrectomy are

1. TOTAL GASTRECTOMY 
        In total gastrectomy, the complete stomach is excised  and the end of the oesophagus
is disconnected from the stomach and surgically joined to the small intestine. The complete stomach has been damaged and has completely lost its function leaving the complete excision of the stomach as the only option. 
2. PARTIAL GASTRECTOMY 
         Partial gastrectomy is performed when the ulcer or cancer has not affected every part of the stomach but some very specific portions. the type of partial gastrectomy being done is named according to the portion of the stomach being excised. E.G ;
  • Proximal gastrectomy
  • Distal gastrectomy
  • Subtotal gastrectomy 
  • wedge
  • Central vasectomy
                                    
fig1.4. Types of gastrectomy
      So one might ask how do people without stomach survive, well, there will have to be some changes that will be employed in order to cope with living without the stomach. one of these changes include;
  
  • A change in diet and feeding pattern; now living without the major food storage vessel in the body, the patient will have to be taking meals after short periods of time and in bits because the churning and breaking down factor of the stomach is not available. as time goes on, the patient gets used to life without a stomach and lives healthy.  
note; the stomach actively participates majorly in digestion of proteins and the small intestine digests proteins too. so upon the removal of the stomach, the small intestine carries on as though nothing happened. 

   when they tell you in an argument they don`t have the stomach for something, don`t probe further. maybe they really don`t have a stomach for it😄😄.

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