Early stage gastric stump cancer is potentially curable. The key lies in early diagnosis and timely treatment, which can significantly improve the cure rate. The main treatment methods include surgical resection, drug-assisted therapy, and lifestyle adjustment. The specific plan needs to be formulated according to the condition. 1 Causes of gastric stump cancer Gastric remnant cancer refers to cancerous changes in the remaining stomach after partial gastrectomy. Its main causes include: Genetic factors: Some patients have a family history of cancer and are more susceptible to genetic diseases. Environmental factors: Dietary habits have a significant impact on the onset of the disease, such as the intake of high-salt pickled foods, smoked meat products, as well as long-term smoking and excessive drinking. Physiological factors: After gastrectomy, gastric juice secretion decreases and the inhibitory effect of gastric acid decreases, which is conducive to the growth of Helicobacter pylori and easily induces chronic inflammatory lesions. Pathological factors: Chronic changes such as inflammation, atrophy and intestinal metaplasia after gastrectomy are the main basis for carcinogenesis. 2 Treatment methods Surgical treatment: Surgery is the first choice for treating early gastric remnant cancer. Radical surgical resection is generally used, including total gastrectomy or extended lymph node dissection. The specific surgical method needs to be determined according to the cancer stage and patient condition. Drug treatment: Adjuvant chemotherapy is often required after surgery. Three commonly used chemotherapy regimens include oxaliplatin combined with 5-fluorouracil, paclitaxel combined with capecitabine, and irinotecan. These drugs help reduce the risk of recurrence. Diet and lifestyle adjustments: Diet: Eat a low-salt diet rich in fresh fruits and vegetables, avoid spicy, pickled and smoked foods; eat small meals frequently to reduce the burden on the stomach. Lifestyle habits: Avoid smoking, excessive drinking, maintain proper exercise, and enhance immunity. Regular follow-up: Regular follow-up of gastroscopy and imaging examinations are required after surgery to detect recurrence or new lesions at an early stage. Early detection is the key to cure gastric stump cancer. It is recommended that patients with a family history of gastric cancer or those who have undergone gastrectomy undergo annual gastroscopy screening. Early treatment and active compliance with doctor's advice can greatly increase the probability of cure and improve the quality of life. |
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