77-year-old Grandma Wang (pseudonym) is usually in good health, but she always feels distension and pain in her upper abdomen after eating for nearly one month, and she didn't care about it at first, but the symptoms are becoming more and more obvious. At the urging of her family, Grandma Wang reluctantly went to the hospital for a gastroscopy. A check turned out to be a "stomach cancer" that made people smell and change color, which made Grandma Wang's family fall into deep anxiety and uneasiness.
After many inquiries, Grandma Wang's son took him to the Third Department of Oncology of Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine). Chief Physician Tang Jianqing, a well-known gastrointestinal oncologist in the hospital, conducted a comprehensive examination and evaluation for the elderly, and formulated a standardized chemotherapy plan for the elderly according to their condition and physical condition.
What causes stomach cancer?
1.Genetic factors: Gastric cancer has a family history of aggregation.
2.Gastric diseases: gastric polyps, chronic atrophic gastritis, intestinal metaplasia.
3.Eating habits: Regularly consume high-salt diets such as smoked jerky, salted fish, and fish sauce; High nitrite foods such as pickles, bacon, and stale vegetables.
What are the conditions to be wary of stomach cancer risk?
1.Unexplained loss of appetite, epigastric discomfort, and weight loss, especially in middle-aged and older people.
2.Hematemesis or black stool, positive for occult blood in the stool.
3.Long-term chronic stomach disease with worsening symptoms.
4.Patients with pre-existing gastric disorders require regular repeat gastroscopy.
5.Patients with prior large gastrectomy.
6.People with epigastric tenderness and mass.
What to do about Helicobacter pylori infection (HP+)?
The following 8 groups of people are recommended for Helicobacter pylori**:
1.Patients with peptic ulcer.
2.People with chronic gastritis with dyspepsia, gastric mucosal atrophy or erosion.
3.People who have stomach cancer or have undergone gastric cancer surgery.
4.People with a family history of gastric cancer.
5.Patients with MALT lymphoma.
6.People who take proton pump inhibitors or non-steroidal anti-inflammatory drugs (aspirin, ibuprofen) for a long time.
7.Patients with unexplained iron deficiency anemia or idiopathic thrombocytopenic purpura.
8.People with lymphocytic gastritis and proliferative gastric polyps.
What tests can detect stomach cancer?
1. Electronic gastroscopy - can detect early gastric cancer.
The electronic gastroscope uses the characteristics of optical fiber to send light to the digestive tract, and through the observation of the stomach condition, the doctor can make a preliminary diagnosis, judge the benign and malignant, and if necessary, biopsy and pathological examination of the diseased tissue. Electronic gastroscopy can detect early gastric cancer, and it is recommended that people over 40 years old have an early and complete examination.
2. Upper gastrointestinal angiography - suitable for middle and advanced gastric cancer.
Upper gastrointestinal angiography can be divided into X-ray barium swallow contrast and contrast-enhanced ultrasonography, in which oral ultrasound contrast or barium can be used to observe neoplastic lesions in the esophagus, stomach, duodenum and other parts. Generally, middle and advanced gastric cancer can be detected, but early gastric cancer or the lesion is too small, and X-ray is easy to ignore.
3. Endoscopic ultrasound - higher accuracy of examination.
A miniature high-frequency ultrasound probe is mounted at the tip of the gastric endoscope and placed together in the intestinal or gastric cavity for ultrasound examination. It differs from ordinary gastroscopes in that endoscopic ultrasound has a "fluoroscopy" function.
Ordinary gastroscopy can only see the surface of the gastric mucosa, while endoscopic ultrasound can see the lesions under the gastric mucosa, so the surrounding metastases can be more accurately judged.
Experts remind: Director Tang Jianqing said that early prevention, early detection and early detection of tumors are the key. Early gastric cancer not only has a low rate after surgery, but also can be performed with minimally invasive techniques such as endoscopy or laparoscopy. In daily life, everyone maintains a healthy lifestyle, is alert to the risk factors of stomach cancer, and seeks medical attention in time if you find stomach discomfort, so as not to delay the best opportunity.
Hunan Medical Chat Special Author: Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine (Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine) Third Department of Oncology Chen Yan Chen Yanfang Follow @Hunan Medical Chat to get more health science information!
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