黑料网

Surgery is a common treatment for stomach cancer, especially when it’s in its early stages. Depending on your situation, we may incorporate minimally invasive surgical ways when performing gastrectomy to help lessen the threat for complications, dock your recovery time, and minimize pain [1].

Stomach cancers that are advanced or aggressive may bear a partial or total gastrectomy.

1. Partial gastrectomy-involves removing part of your stomach and the near lymph bumps (lymphadenectomy) to determine if they contain cancer cells. Depending on the excrescence’s position, your surgeon may also remove corridor of other apkins and organs [2].

2. Total gastrectomy-is an applicable treatment if you have stomach cancer that’s advanced but has not metastasized (spread) to other organs. Your surgeon removes your entire stomach and may also remove corridor of other organs and apkins near the tumour. To enable you to continue eating and swallowing typically the surgeon also connects your oesophagus to your small intestine [3].

Having some or all of your stomach removed to take out cancer, in a surgery called gastrectomy, means that you ’ll have to take redundant care about not only what you eat and drink, but also when you eat and drink. Before surgery, the nausea that frequently comes with chemotherapy presumably hurt your appetite and led to weight loss. Gastric cancer surgery also is life- changing. And though it may take a time or two, your body will acclimate to not having a stomach [4].

Just after your surgery, you’ll spend about 5 days in the sanatorium recovering. Until you’re back to eating through your mouth, you may get nutrients through an IV that goes into a tone, or through a tube that goes into your tummy. You’ll probably be suitable to start a liquid diet several days after surgery and move to a light diet about a week after surgery [5].

Typically, your stomach holds food and kicks off digestion. Foods also pass from the stomach to the duodenum, the first part of your small intestine. However, food is not digested as well, If these effects do not be.

Also, if the stopcock that controls how food exits your stomach into your small intestine is removed, food will pass through your system hastily and you wo not absorb as numerous nutrients as ahead.

As you recover, you’ll presumably find that a lower or absent stomach means that you feel full briskly. Your body may reuse some foods else. Sugar, for illustration, can beget commodity called jilting pattern, where redundant water is drawn into your stomach or small intestine and food pets through your digestive system. Symptoms include cramping and diarrhoea. They can start within 20 twinkles of eating. People who were not lactose intolerant before surgery may come so. Fat may be harder to digest, too. [6].

Guidelines for eating:

1. Start with 6 or further small refection’s daily. When you first launch eating, you may only be suitable to comfortably eat a ½ to 1 mug portion (serving) of food at a time

2. Eat sluggishly. This way, you'll stop eating before you get too full and feel uncomfortable.

3. Sit upright during reflection’s

4. Include protein with each mess. Good protein sources include eggs, meat, flesh, fish, nuts, milk, yogurt, cabin rubbish, rubbish, peanut adulation, and tofu.

5. Avoid racy and fiery foods soon after your surgery.

6. Have your last mess of the day at least 2 hours before bedtime

If you’re losing weight or worried you aren’t getting a balanced diet, vitamin and mineral supplements may help, especially if you’ve had a total gastrectomy. Talk with your doctor about it. If your entire stomach has been removed, you will probably need regular injections of vitamin B12. But if you’ve had only part of it removed, choose foods high in iron, calcium, vitamin C, and vitamin D. Blood tests can help you and your doctor know if your nutrition is on point. If your doctor says you need to get more calories, these strategies will help. As mentioned earlier, watch the sugar until you know how your body will react [7].

Omen people have cramping, stomach pain, or diarrhoea (loose or watery bowel movements) within about 20 minutes of eating foods or drinks that are high in sugar. This is called dumping syndrome. Dumping syndrome can also be caused by eating too much at once [8].

Some people feel weak, hungry, nauseous (like you’re going to throw up), anxious, shaky, or sweaty 1 to 2 hours after eating a sugary meal. This happens because your body releases extra insulin after you eat large amounts of sugar. Having too much insulin in your bloodstream causes low blood sugar [9].

Dumping syndrome and low blood sugar can be controlled by changing your diet and watching what you eat. Try avoiding foods and drinks with lots of sugar, such as: Sugar-sweetened sodas, Fruit juices, Candy, Cane sugar, Honey, Syrups Cakes and cookies [10].

None

None

1. Chang AH, Parsonnet J (2010) Clin Microbiol Rev 23(4): 837-857.

, ,

2. Orditura M, Galizia G, Sforza V, Gambardella V, Fabozzi A, et al. (2014) World J Gastroenterol 20(7): 1635-1649.
3. Vos Theo (2016) Lancet 388(10053): 1545-1602.

, ,

4. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, et al. (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca 68(6): 394-424.

, ,

5. Stathis A, Bertoni F, Zucca E (2010) Treatment of gastric marginal zone lymphoma of MALT type. Expert Opin Pharmacother 11(13): 2141-2152.

, ,

6. Lee YY, Derakhshan MH (2013) Arch Iran Med 16(6): 358-365.

,

7. Chandanos E, Lagergren J (2008)  Eur J Cancer 44(16): 2397-2403.

, ,

8. Qin J, Liu M, Ding Q, Ji X, Hao Y, et al. (2014)  Mol Cell Biochem 395(1-2): 99–107.

, ,

9. Hatakeyama M, Higashi H (2005)  Cancer Sci 96(12): 835-843.

, ,

10. rédaniel J, Boffetta P, Buiatti E, Saracci R, Hirsch A, et al. (1997) Int J Cancer Res 72(4): 565-573.

, ,