Its a malignancy. Most common in natives of Japan, as well as African Americans & Latinos
Path/Eti=Heredity, Chronic inflammation, Achlorhydria(absence of free hydrochloric acid in stomach), Chronic ingestion of highly salted, smoked, or pickled foods, Nitrates and nitrites, nitrogen-based chemical additives in cured meats, tabacco & alcohol abuse.
S/S=early symptoms are vague, as the tumor enlarges symptoms include feeling of fullness after eating, anorexia, weight loss, anemia, Stool usually contains occult blood, Pain is late symptom.
Dx=Barium swallow, CT scan, tissue biopsy, Gastric analysis, USG
Medical management= Surgical management: Subtotal or Total gastrectomy, Chemotherapy, Palliative radiation
- Teach public especially ethnic groups & family history of stamach cancer
- Teach Dietary changes 2 reduce predisposition for this disease.
- Instruct high risk broups like peeps who had vagotomy they must take medications 2 reduce hydrochloric acid formation and know warning sighs of cancer.
- Monitor weight weekly
- Teach signs of DUMPING SYNDROME=WEAKNESS, DIZZINESS, SWEATING, PALPITATIONS, ABD CRAMPS, DIARRHEA,