When a gastrectomy is needed A gastrectomy is often used to treat stomach cancer. Less commonly, it's used to treat: life-threatening obesity oesophageal cancer stomach ulcers (peptic ulcers) non-cancerous tumours Gastrectomy is usually an effective treatment for cancer and obesity. How a gastrectomy is performed There are 4 main types of gastrectomy, depending on which part of your stomach needs to be removed: total gastrectomy – the whole stomach is removed partial gastrectomy – the lower part of the stomach is removed sleeve gastrectomy – the left side of the stomach is removed oesophagogastrectomy – the top part of the stomach and part of the oesophagus (gullet), the tube connecting your throat to your stomach, is removed All types of gastrectomy are carried out under general anaesthetic, so you'll be asleep during the operation.