Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

Which postoperative complication is associated with a total gastrectomy?

1. Dumping syndrome

2. Anemia

3. Vitamin B12 deficiency

4. All of the above

The correct answer is: All of the above

A total gastrectomy involves the complete removal of the stomach, which has significant implications for the body’s digestion and nutrient absorption processes. Following this procedure, several postoperative complications can arise, which is why selecting all of the listed options is appropriate. Dumping syndrome is a common consequence after total gastrectomy. This syndrome occurs due to the rapid emptying of undigested food into the small intestine, leading to symptoms such as nausea, vomiting, diarrhea, and abdominal cramping. The absence of the stomach alters the normal digestive process and can result in a quick influx of food into the small intestine. Anemia can be another complication post-gastrectomy. The stomach plays a crucial role in the absorption of certain nutrients, particularly iron, which is vital for red blood cell production. The loss of the stomach can lead to decreased absorption of iron and subsequent anemia, reflecting a lack of red blood cells in circulation. Vitamin B12 deficiency is especially noteworthy in this context. The stomach produces intrinsic factor, a protein essential for the absorption of vitamin B12 in the small intestine. After total gastrectomy, the absence of the stomach means there is no intrinsic factor produced, leading to a high risk of vitamin B12 deficiency. This can further contribute