Tuesday, 3 May 2011

Gastric Cancer - References

1. Rustgi AK. Neoplasms of the stomach. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 202.
2. Gunderson LL, Donohue JH, Alberts SR. Cancer of the stomach. In: Abeloff MD, et al., eds. Abeloff's Clinical Oncology. 4th ed. Philadelphia, Pa: Saunders Elsevier;2008:chap 79.
3. National Cancer Institute. Gastric cancer treatment PDQ. Updated July 8, 2010.

Gastric Cancer - Prevention

Mass screening programs have been successful at detecting disease in the early stages in Japan, where the risk of gastric cancer is much higher than in the United States. The value of screening in the United States and other countries with lower rates of gastric cancer is not clear.

The following may help reduce your risk of gastric cancer:

Don't smoke

Eat a healthy, balanced diet rich in fruits and vegetables

Take a medication to treat reflux disease, if you have it

Gastric Cancer - Calling your health care provider

Call your health care provider if symptoms of gastric cancer develop.

Gastric Cancer - Complications

Fluid buildup in the belly area (ascites)

Gastrointestinal bleeding

Spread of cancer to other organs or tissues

Weight loss

Gastric Cancer - Expectations (prognosis)

The outlook varies. Tumors in the lower stomach are cured more often than those in the higher stomach -- gastric cardia or gastroesophageal junction. How far the tumor invades the stomach wall and whether lymph nodes are involved when the patient is diagnosed affect the chances of a cure.

When the tumor has spread outside the stomach, a cure is not possible and treatment is designed to improve symptoms.

Gastric Cancer - Support Groups

You can ease the stress of illness by joining a support group with members who share common experiences and problems. See:

Cancer - support group

Gastrointestinal disorders - support group

Gastric Cancer - Treatment

Surgery to remove the stomach (gastrectomy) is the only treatment that can cure the condition. Radiation therapy and chemotherapy may help. For many patients, chemotherapy and radiation therapy after surgery may improve the chance of a cure.

For patients who cannot have surgery, chemotherapy or radiation can improve symptoms and may prolong survival, but will likely not cure the cancer. For some patients, a surgical bypass procedure may relieve symptoms.