For people whose cancers are HER2-positive, the targeted drug trastuzumab can be added to the chemo, which might help it work better. Another option for people with metastatic HER2-positive stomach cancer is to give trastuzumab with chemo and the immunotherapy drug, pembrolizumab, as the first treatment.
Other options might include a targeted therapy drug or an immunotherapy drug. For example, a laser beam directed through an endoscope a long, flexible tube passed down the throat can destroy parts of the tumor to stop it from blocking the passage of food through the stomach. If needed, an endoscope can be used to place a stent a hollow metal tube where the esophagus and stomach meet to help keep it open and allow food to pass through.
This can also be done at the junction of the stomach and the small intestine. Stomach cancer and its treatment can often lead to problems with eating, and getting adequate nutrition is often a concern. Some people might be helped by the placement of a feeding tube.
If it is only needed for a short time, a thin tube can be passed down the nose and throat and into the stomach or intestine. If a feeding tube is needed for a longer time, a minor surgical procedure can be done to place the tube through the skin of the abdomen and into either the lower part of the stomach a gastrostomy tube or G tube or the small intestine a jejunostomy tube or J tube. Liquid nutrition can then be put directly into the tube.
Because these cancers can be hard to treat, new treatments being tested in clinical trials may benefit some patients. Even if treatments do not destroy or shrink the cancer, there are often ways to relieve pain, trouble eating, and other symptoms. They may also need to remove parts of other organs around the stomach.
Recovery from surgery to treat stomach cancer can take a long time. The specialist team looking after you will discuss all the benefits and side effects. You may need surgery to relieve a blockage in the stomach. This helps food pass through your stomach more easily. Macmillan Cancer Support: surgery for stomach cancer. Macmillan Cancer Support: Chemotherapy for stomach cancer. Radiotherapy uses high-energy rays of radiation to kill cancer cells. Training is key, says Ngamruengphong.
Doctors use both endoscopic resection and traditional surgery to provide effective stomach cancer treatment. During a traditional, or open, surgical resection, surgeons make an abdominal incision to access the stomach and remove all or part of the stomach as well as affected lymph nodes and tissue.
For patients with very early disease, Ngamruengphong says the less invasive endoscopic resection can treat stomach cancer as safely and effectively as traditional surgery — with multiple added benefits. Every cancer presents — and acts — differently. Our patient services specialists can assist you with scheduling an appointment, questions about medical records, insurance, billing and more. Patient Appointment Center Hours: 7 a. Monday - Friday; 8 a. Where should I go for stomach cancer treatment?
Moffitt patients also benefit from the expertise of a multispecialty team that focuses exclusively on cancers of the GI tract and comprises: Medical oncologists Surgical oncologists Gastroenterologists Radiation oncologists And other professionals What should I do if I think I might have stomach cancer?
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