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The Consequences of a Gastrectomy

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Gastric Substitutes

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Abstract

A healthy stomach functions as a reservoir and it transports food after mechanical breakdown and preliminary digestion, secretes juices and enzymes and controls the emptying of chyme into the duodenum (Fig. 2.1). The lower oesophageal sphincter (LOS) protects against gastroesophageal reflux. After a total gastrectomy when the LOS has probably been resected (transhiatal oesophagojejunostomy), this protection is lost. The proximal stomach holds chyme (large-volume reservoir) and then propels it toward the distal stomach.

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  1. Leitender Arzt Kantonsspital Luzern Chirurgische Klinik A, 6000, Luzern, Switzerland

    Dr. med. J. Metzger

  2. Netzibodenstrasse, 34, 4133, Pratteln, Switzerland

    Prof. Dr. med. F. Harder

  3. Kantonsspital Luzern Chirurgische Klinik A, 6000, Luzern, Switzerland

    Prof. Dr. med. M. Von Flüe

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Metzger, J., Harder, F., Von Flüe, M. (2003). The Consequences of a Gastrectomy. In: Gastric Substitutes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55880-1_2

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