Stomach removal and quality of life

[dawnee]

My dad, 67 years of age, has been battling with internal bleeding for over 15 years, and it is getting quite severe.  He is having to have blood transfusions at least once a month, if not more. He had part of stomach removed approximately 15-20 years ago due to ulcers.  He has had several endoscopes performed, and his stomach is so very, very tender that he only bleeds more - to the point of vomiting blood.  He has been in ICU two times already this year and has come very close to death.  In talking with him today, he states that the bleeding has returned.  I am very concerned as well as he that another scope will be performed.  He is refusing to have gastrectomy because we have not found much information, and he wonders about his quality of life.  Would he be able to eat at all by mouth and what are the risks involved with a gastrectomy?  I am pushing him to have this procedure performed; however, I don't know what kind of life he will have post-surgery.  He is also on dialysis so I'm not sure if a gastrectomy would even be possible.  I would love some feedback to gain more information on the surgery and life after the surgery.  Thanks!  Dawn

[Kevin Pho, MD]

Surgeon has kindly addressed your question in his comments below and I agree with his assessment.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[gramag]

Dawn, I can only tell you my experience.  I'm not a medical person, but  I just passed my 3 year anniversary of a total gastrectomy and partial esophectomy due to cancer.  All I can say is I'm glad I did it.  I was on a feeding tube for a little over 3 months but have been able to eat most anything within reason.

[surgeon]

I've done several total gastrectomies. It's surprising how well-tolerated it typically is. As with any surgery, there are no guarantees, and any big operation runs risks of bleeding, infection, blockage, etc. But the typical person who's had a total gastrectomy will be able to eat by mouth and will often be able to eat anything they want; but in smaller quantities at a time. It's possible certain things, especially high sugar foods like a milkshake, will cause cramps or diarrhea. But my advice has always been to try anything you want and see how it goes, and make adjustments accordingly.

[dawnee]

Thanks to everyone for the encouraging comments.  I read your comments to my dad, and he was also encouraged.  Thanks to all of you, my dad is now actually considering having the gastrectomy - whereas before he would not even think of it or talk about it.  Thanks again and again.  Dawn