What procedure removes the entire stomach to eliminate malignant lesions?
a. Subtotal gastrectomy
b. Total gastrectomy
c. Total vagotomy
d. Total pyloroplasty
ANS: B
With a total gastrectomy, the entire stomach is excised because of malignant lesions through a bilateral subcostal, long transrectus, or thoracoabdominal incision. A total gastrectomy necessitates reconstruction of esophagointestinal continuity by establishing an anastomosis between a loop of jejunum and the esophagus.
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