CLINICAL SIGNIFICANCE OF GASTRIC WALL STRUCTURE AND CRITERIA FOR SELECTING THE EXTENT OF GASTRIC RESECTION
Abstract
The structure of the gastric wall plays a critical role in determining gastric function, surgical safety, and postoperative outcomes. In bariatric and other gastric surgeries, the extent of gastric resection must be carefully selected based on anatomical, histological, and functional characteristics of the stomach. This study analyzes the clinical significance of gastric wall architecture and defines key criteria for selecting the optimal volume of gastric resection. Morphological features such as wall thickness, muscular integrity, vascular supply, and inflammatory changes are shown to have direct implications for surgical planning, healing capacity, and long-term functional results. Understanding these factors provides a rational basis for individualized surgical decision-making.
Keywords
Gastric wall, clinical significance, gastric resection, morphology, bariatric surgery
References
- Buchwald H, Oien DM. Metabolic and bariatric surgery worldwide 2013. Obesity Surgery. 2013;23(4):427–436.
- Dixon JB, Zimmet P, Alberti KG, Rubino F. Bariatric surgery for type 2 diabetes. The Lancet. 2011;378(9786):1497–1505.
- Camilleri M. Gastrointestinal motility disorders and obesity. Gastroenterology. 2019;156(2):421–431.
- Park MI, Camilleri M. Gastric motor and sensory functions in obesity. Obesity Research. 2005;13(3):491–500.
- Peterli R, et al. Metabolic and hormonal changes after bariatric surgery. Annals of Surgery. 2018;268(2):220–226.
- le Roux CW, Bloom SR. Gastrointestinal hormones and regulation of appetite. Endocrinology and Metabolism Clinics. 2005;34(3):771–788.
- Nguyen NT, Varela JE. Bariatric surgery for obesity and metabolic disorders. JAMA. 2017;318(1):93–94.
- Sjöström L. Review of the key results from the Swedish Obese Subjects trial. Journal of Internal Medicine. 2013;273(3):219–234.
- Rubino F, et al. Metabolic surgery in the treatment algorithm for type 2 diabetes. Diabetes Care. 2016;39(6):861–877.
- Tack J, Deloose E. Complications of bariatric surgery: dumping syndrome, reflux and motility disorders. Best Practice & Research Clinical Gastroenterology. 2014;28(4):741–749.
- Roldán-Sarmiento P, et al. Histopathological changes in the gastric wall of obese patients. Obesity Surgery. 2016;26(7):1501–1508.