Can Surgery Cure Gastric Ptosis and Relieve Nausea? - Gastroenterology and Hepatology

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Can surgery for gastric ptosis be effective?


I have had gastric ptosis for a long time, and my stomach feels very uncomfortable and nauseous.
I am naturally very thin.
I have been taking traditional Chinese medicine for a while, but it doesn't seem to help.
Can surgery cure this condition?

Mìng zhòng zhù dìng, 20~29 year old female. Ask Date: 2006/03/28

Dr. Yuan Hongdao reply Gastroenterology and Hepatology


Hello: Gastroparesis and discomfort or nausea in the stomach are not necessarily related.
Gastroparesis may not always present symptoms, and the risks of surgery are significant.
Even after surgery, symptoms may not improve.
If there is a long-term blockage in the stomach, it is still important to seek medical attention.
Sincerely, Dr.
Yuan Hongdao, Internal Medicine.

Reply Date: 2006/03/28

More Info


Gastric ptosis, or "stomach ptosis," refers to a condition where the stomach is positioned lower than normal in the abdominal cavity. This can lead to various symptoms, including nausea, discomfort, and digestive issues. While surgery is an option for certain gastrointestinal conditions, the decision to proceed with surgical intervention for gastric ptosis should be carefully considered and discussed with a healthcare professional.


Understanding Gastric Ptosis
Gastric ptosis can occur due to various factors, including significant weight loss, pregnancy, or congenital conditions. The symptoms associated with gastric ptosis often stem from the stomach's altered position, which can affect its ability to function properly. Common symptoms include:
- Nausea
- Bloating
- Early satiety (feeling full after eating only a small amount)
- Discomfort or pain in the upper abdomen

Non-Surgical Treatments
Before considering surgery, it's essential to explore non-surgical treatment options. These may include:
1. Dietary Modifications: Eating smaller, more frequent meals can help reduce symptoms. Avoiding heavy, fatty, or spicy foods may also be beneficial.

2. Medications: Over-the-counter medications like antacids or proton pump inhibitors can help manage symptoms related to gastric acidity and discomfort.

3. Physical Therapy: Some patients find relief through physical therapy, which can help strengthen the abdominal muscles and improve posture, potentially alleviating some symptoms.


Surgical Options
If non-surgical treatments fail to provide relief and symptoms significantly impact your quality of life, surgical options may be considered. The most common surgical procedure for gastric ptosis is a gastropexy, where the stomach is surgically attached to the abdominal wall to hold it in a more normal position. This procedure aims to alleviate symptoms by restoring the stomach's anatomical position.

However, surgery is not without risks, and potential complications can include:
- Infection
- Bleeding
- Anesthesia-related complications
- Recurrence of symptoms

Factors to Consider
Before deciding on surgery, several factors should be taken into account:
1. Severity of Symptoms: If your symptoms are mild and manageable, surgery may not be necessary.

2. Overall Health: Your general health and any underlying medical conditions will influence the decision to undergo surgery.

3. Expectations: It's crucial to have realistic expectations about the outcomes of surgery. While it may alleviate symptoms for some, it may not completely resolve all issues.


Conclusion
In conclusion, while surgery can potentially cure gastric ptosis and relieve nausea, it is essential to weigh the benefits against the risks. Consulting with a gastroenterologist or a surgeon specializing in gastrointestinal disorders is crucial to determine the best course of action for your specific situation. They can provide a thorough evaluation, discuss the potential benefits and risks of surgery, and help you make an informed decision based on your health status and lifestyle. Additionally, exploring non-surgical options may provide relief without the need for invasive procedures. Always prioritize open communication with your healthcare provider to ensure the best possible outcome for your condition.

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