Z90.3 Acquired absence of stomach [part of]

ICD10CM code

#### Name of the Condition
- Acquired Absence of Stomach
- ICD Code: Z90.3

#### Summary
Acquired absence of the stomach refers to the medical condition where the stomach is partially or completely removed, usually due to surgical intervention. This condition often arises following surgical procedures such as gastrectomy.

#### Causes
- Surgical removal of the stomach due to conditions like stomach cancer, severe peptic ulcer disease, or bariatric surgery complications.

#### Risk Factors
- Having a history of stomach diseases or cancer.
- Undergoing surgery for obesity or severe ulcer management.

#### Symptoms
- Nutritional deficiencies.
- Weight loss and malabsorption issues.
- Digestive disturbances such as bloating or diarrhea.

#### Diagnosis
- Patient’s surgical history review.
- Imaging studies, if necessary, to confirm the absence of stomach tissue.
- Nutritional assessments to evaluate deficiencies.

#### Treatment Options
- Nutritional support, including vitamin and mineral supplementation.
- Dietary modifications to aid digestion.
- Monitoring for complications such as anemia or osteoporosis.

#### Prognosis and Follow-Up
- With proper management and nutritional support, patients can adapt to life without a part of their stomach.
- Regular follow-ups to monitor nutritional status and manage any long-term complications are essential.

#### Complications
- Nutritional deficiencies can lead to anemia, bone density loss, and other health issues.
- Digestive problems can persist, requiring ongoing medical oversight.

#### Lifestyle & Prevention
- Adopting a nutrient-rich diet tailored to individual digestive capabilities.
- Avoiding foods that may exacerbate digestive symptoms.

#### When to Seek Professional Help
- Persistent gastrointestinal symptoms such as severe bloating, diarrhea, or unintended weight loss.
- Signs of nutritional deficiencies, such as fatigue or weakness.

#### Additional Resources
- American College of Gastroenterology.
- National Institutes of Health (NIH) resources on gastrointestinal surgery.

#### Tips for Medical Coders
- Ensure accurate coding by reviewing the patient's surgical history and corresponding documentation for confirmation of partial or total gastrectomy.
- Avoid coding errors by distinguishing between acquired absence due to surgery and congenital absence.

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