What to do if gastric cancer with pyloric obstruction cannot be operated on

What to do if gastric cancer with pyloric obstruction cannot be operated on

If a patient has gastric cancer accompanied by pyloric obstruction, it usually means that the condition is already serious. At this time, appropriate treatment measures need to be taken according to the specific situation.

1. Palliative chemotherapy: Since radical resection is not possible, palliative chemotherapy can be considered to relieve symptoms and prolong survival;

2. Placement of stents or endoscopic dilatation: For some patients with mild stenosis, metal stents or balloon dilatation can be tried first to relieve the obstruction, and then a decision can be made on whether to continue with stent placement or surgical treatment after a period of observation;

3. Gastrointestinal decompression: In clinical practice, food is directly injected from the mouth into the duodenum through a nasogastric tube, thereby alleviating the patient's symptoms such as abdominal distension, and to a certain extent, improving their quality of life and nutritional status;

4. Drug treatment: Proton pump inhibitors such as omeprazole capsules and pantoprazole sodium enteric-coated tablets can reduce gastric acid secretion and help protect the esophageal mucosa; acid suppressants such as rabeprazole sodium enteric-coated tablets and ilaprazole enteric-coated tablets can also be used to control gastric acid secretion and prevent ulcer formation and bleeding.

5. Other treatment methods: If the tumor is large, local ablation treatment can be performed through interventional radiology technology, including radiofrequency ablation, microwave ablation, etc., which is suitable for patients with small lesions and no distant metastasis.

You can also use traditional Chinese medicine to help regulate your body and improve your immunity, but the specific medication must be taken according to the doctor's instructions. At the same time, you must maintain a good attitude and actively cooperate with the doctor's treatment, pay attention to eating light and easy to digest, and avoid eating spicy and irritating foods to avoid aggravating the discomfort symptoms.

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