This article needs attention from an expert in Medicine. The specific problem is: Medicine Review for a new article.(August 2023) |
Antrectomy | |
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a. Antrectomy is performed along the dashed lines, with the removal of stomach parts highlighted in gray. b. An end-to-end anastomosis is created between the remnant stomach (S) and duodenum (D). |
Antrectomy, also called distal gastrectomy, is a type of gastric resection surgery that involves the removal of the stomach antrum to treat gastric diseases causing the damage, bleeding, or blockage of the stomach.[1][2] This is performed using either the Billroth I (BI) or Billroth II (BII) reconstruction method. Quite often, antrectomy is used alongside vagotomy to maximise its safety and effectiveness.[3] Modern antrectomies typically have a high success rate and low mortality rate, but the exact numbers depend on the specific conditions being treated.[4]
The history of antrectomy traces back to the 19th century, starting with the first successful gastric resection in 1810. Since then, antrectomy has undergone a magniftude of changes, where development in the field continues to this day. Even though antrectomy paired with vagotomy and anastomosis is now the established gold standard, its side effects and clinical relevance remains a controversial subject. With advancements in alternative surgeries and other non-invasive treatments, antrectomy is less common nowadays.