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Is Total Gastronomy A Safe Procedure For Treatment Of Stomach Cancer?
Question: Hi
My Father has been diagnosed with CA stomach.He has undergone 4 cycles of chemotherapy and after CT scan it shows significant improvement.The Tumor has shrunk.
But doctors has advised for total gastronomy.
1)How safe is that surgery?
2)What are other possible alternatives if the patient is not willing for the surgery?
3) After complete stomach, how will the patient have the hunger sensation of feel the desire to eat?
4) What are the chances that we can get only certain percent of stomach removed instead of Total Stomach Removal since recent CT Scan has shown significant improvement.
5) After surgery, how are nutrients like vitamins, b 12, and iron requirements fulfilled or absorbed in absence of stomach?
6) How soon the patient can get back to normal life in terms of walking?
7) What about the weight loss? How soon the patient can start gaining weight?
8). How and when can the patient eat after surgery? Is it painful while eating?
9) Will the medications for any ailments be effective if there is no stomach? For example if someone falls sick and needs medication will it be effective?
My Father has been diagnosed with CA stomach.He has undergone 4 cycles of chemotherapy and after CT scan it shows significant improvement.The Tumor has shrunk.
But doctors has advised for total gastronomy.
1)How safe is that surgery?
2)What are other possible alternatives if the patient is not willing for the surgery?
3) After complete stomach, how will the patient have the hunger sensation of feel the desire to eat?
4) What are the chances that we can get only certain percent of stomach removed instead of Total Stomach Removal since recent CT Scan has shown significant improvement.
5) After surgery, how are nutrients like vitamins, b 12, and iron requirements fulfilled or absorbed in absence of stomach?
6) How soon the patient can get back to normal life in terms of walking?
7) What about the weight loss? How soon the patient can start gaining weight?
8). How and when can the patient eat after surgery? Is it painful while eating?
9) Will the medications for any ailments be effective if there is no stomach? For example if someone falls sick and needs medication will it be effective?
Brief Answer:
Radiotherapy can be used
Detailed Answer:
Hi
Since your father has cancer of stomach and after 4 cycles of chemotherapy the tumour has shrunk surgery is very safe at this stage.
If the patient is not willing for surgery then radiotherapy can be used.
Radiation therapy uses high-powered beams of energy, such as X-rays, to kill cancer cells. The energy beams come from a machine that moves around you as you lie on a table.
After complete stomach removal huger sensation will be reduced by 25%.
Total gastrectomy involves removing the entire stomach and some surrounding tissue. The esophagus is then connected directly to the small intestine to allow food to move through your digestive system.
Subtotal gastrectomy is another option other than total gastrectomy were the surgeon removes only the portion of the stomach affected by cancer.
After surgery vitamins, b 12, and iron requirements and other nutrients will be absorbed from small intestine.
Patients can get back to normal life after 3 months.
Initially there will be weight loss for 1 month after which there will be gradual increase in weight.
Patients can start eating after 2 weeks of time.It is not painful.
Medications will be effective as before and it will be absorbed through the intestine.
Regards
DR DE
Radiotherapy can be used
Detailed Answer:
Hi
Since your father has cancer of stomach and after 4 cycles of chemotherapy the tumour has shrunk surgery is very safe at this stage.
If the patient is not willing for surgery then radiotherapy can be used.
Radiation therapy uses high-powered beams of energy, such as X-rays, to kill cancer cells. The energy beams come from a machine that moves around you as you lie on a table.
After complete stomach removal huger sensation will be reduced by 25%.
Total gastrectomy involves removing the entire stomach and some surrounding tissue. The esophagus is then connected directly to the small intestine to allow food to move through your digestive system.
Subtotal gastrectomy is another option other than total gastrectomy were the surgeon removes only the portion of the stomach affected by cancer.
After surgery vitamins, b 12, and iron requirements and other nutrients will be absorbed from small intestine.
Patients can get back to normal life after 3 months.
Initially there will be weight loss for 1 month after which there will be gradual increase in weight.
Patients can start eating after 2 weeks of time.It is not painful.
Medications will be effective as before and it will be absorbed through the intestine.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi
Thanks for your quick response and advise.
Could you please recommend me a good Onco Surgeon in Bangalore/Delhi.
Thanks,
Sumit
Thanks for your quick response and advise.
Could you please recommend me a good Onco Surgeon in Bangalore/Delhi.
Thanks,
Sumit
Brief Answer:
Can be cured
Detailed Answer:
Hi
You can consult Dr. M. XXXXXXX oncosurgeon in Apollo hospitals XXXXXXX
Since there is good response with chemotherapy you do not need to worry and the disease can be cured.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Can be cured
Detailed Answer:
Hi
You can consult Dr. M. XXXXXXX oncosurgeon in Apollo hospitals XXXXXXX
Since there is good response with chemotherapy you do not need to worry and the disease can be cured.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR DE
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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