# Stomach Cancer --- **Stomach cancer** is a [[cancer]] of the [[stomach]]. The most common type is adenocarcinoma. It is difficult to detect in the early stages and has poor survival rates. ## Risk Factors - Age - AMAB - Diet - smoked foods - salted/pickled foods - low amout of fruit/vegies - [[smoking]] - chronic inflammation - [[peptic ulcer disease|H. pylori]] ## Diagnostic Tests - abdominal ultrasound/CT with contrast - [[endoscopy|EGD]] with biopsy - something called **carcinoembryonic antigen**, or CEA ## Treatement Chemo and radiation can be used to treat stomach cancer, and there are also a number of surgeries that can be used to treat stomach cancer, depending on the location of the cancer. These surgeries are also sometimes used as a from of [[obesity|bariactric surgery]]. Billroth I and II remove some portion of the stomach and attach it directly to the small intestine. ![[stomach cancer surgeries.png]] A **total gastrectomy** or an **esophagojejunostomy** can also be performed in extreme cases. These patients are at a great risk of malnutrition, especially [[anemia|pernicious anemia]], as the stomach produces [[gastric gland|intrinsic factor]], which allows for the absorbtion of [[vitamin B|vitamin B12]]. There is also something called "dumping syndrome". ![[esophagojejunostomy.png]] ## Nursing Considerations Gastric surgery is a risk for [[peritonitis]]. May also see the following post-op: - pain - dyspepsia - early satiety - nausea/vomiting - weight loss - bloating after meals - fatigue ___