✦ PEPTIC ULCER · SURGICAL RESECTION

Partial Gastrectomy

Q: Will I be able to eat normally after partial gastrectomy?

Most patients eat small frequent meals after surgery. Dumping syndrome may occur initially, managed with dietary modification. Normal-sized meals within 3–6 months.

Q: What is dumping syndrome?

Dumping syndrome occurs when food passes too quickly from the gastric remnant into the small bowel, causing postprandial flushing, sweating, diarrhoea, and nausea.

Q: Is vitamin supplementation needed after partial gastrectomy?

Yes, B12 injections (3-monthly), iron, and calcium supplementation are required lifelong. Regular blood tests monitor nutritional status.

Removal of the distal stomach for refractory ulcers, gastric outlet obstruction, or when cancer cannot be excluded.

120–240 Min TREATMENT DURATION

5–7 Days CARE SETTING

Open / Laparoscopic APPROACH

4–6 Weeks RECOVERY TIMELINE

What is Partial Gastrectomy?

Partial gastrectomy involves removal of the distal portion of the stomach — the antrum and pylorus — to permanently eliminate the acid-producing zone and remove the ulcer-bearing tissue. It is performed for refractory peptic ulcers, gastric outlet obstruction from chronic scarring, or large gastric ulcers where malignancy cannot be confidently excluded by biopsy alone. Dr. Tagore Mohan Grandhi performs partial gastrectomy. Reconstruction is performed by Billroth II gastrojejunostomy or Roux-en-Y anastomosis. All specimens are sent for histopathological examination.

Suitable for patients with peptic ulcers refractory to H.pylori eradication and acid suppression, gastric outlet obstruction from chronic ulcer fibrosis, or large gastric ulcers where biopsy alone cannot conclusively exclude malignancy.

How the Procedure Works

Pre-operative Assessment

Upper GI endoscopy with biopsy and H.pylori testing performed. Nutritional optimisation completed before surgery.

Gastric Mobilisation

Stomach mobilised. Greater and lesser omentum divided. Blood supply to the stomach secured and divided.

Gastric Transection

Stomach transected at junction of body and antrum. Distal portion including the ulcer removed with clear margins.

Reconstruction

Gastrointestinal continuity restored by Roux-en-Y or Billroth II gastrojejunostomy reconstruction.

Recovery

Diet progressed from liquids to solids over 2–5 days. CT confirms anastomotic integrity before discharge.

Outcomes

120–240 MinTREATMENT DURATION

5–7 DaysCARE SETTING

Open / LaparoscopicAPPROACH

4–6 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→Removes acid-producing antrum permanently — eliminates root cause of recurrence
→Definitive treatment for refractory or obstructing peptic ulcers
→Histopathology of resected stomach confirms ulcer benign or identifies malignancy
→Simultaneous treatment of ulcer and reconstruction in one procedure

Partial gastrectomy is the definitive solution when medical therapy has failed or when we cannot confidently exclude malignancy in a gastric ulcer. Removing the acid factory permanently eliminates the source of the problem.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Will I be able to eat normally after partial gastrectomy?+

What is dumping syndrome?+

Is vitamin supplementation needed after partial gastrectomy?+

Not sure which treatment is right for you?

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