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Follow-up care after treatment of stomach cancer

Endoscopy check

  • For intestinal metaplasia, endoscopy is not indicated. This condition is quite common and the risk for adenocarcinoma is very low. These patients often have gastritis with dyspepsia and are followed up clinically with appropriate treatment (for example acid neutralization/antibiotic treatment against helicobacter pylori).
  • Patients with dysplasia (Barrett's esophagus) should be check with endoscopy and new biopsies after 3-6 months.
  • After a total gastrectomy, the anastomsis is checked for stenosis about 3 months after the operation.

Subsequent checks for the next 5 years are done with a general practitioner. X-ray of the lungs and ultrasound of the liver may be taken as well as measurement of Hb and vitamin B12.  

After stomach surgery

  • Vitamin B12 deficiency: After a total gastrectomy, the patient must have intravenous vitamin B12 supplements (one ampule) every 3 months for the rest of their life.

  • If there is stenosis in the anastomosis due to fibrosis or tumor reoccurrence: dilatation, stent, or reoperation
  • For malnutrition: small, frequent meals and supplements
  • For "dumping" with rapid emptying of stomach content, abdominal pain, and diarrhea: reduce intake of fluid at mealtimes and lie down for a short period after mealtime.

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