Can anastomotic ulcer be gastric cancer?

summary

Anastomotic ulcer is a kind of peptic ulcer which occurs again after gastrectomy. It is called recurrent peptic ulcer, especially the recurrent ulcer of jejunal mucosa near anastomotic stoma, which is called anastomotic ulcer. The average incidence rate of ulcer was 1% to 10%. Male is more than female. The incidence rate of anastomotic ulcer is related to the operation of first gastrectomy, and most commonly seen after gastric jejunostomy. The incidence of anastomotic ulcer is most common in 2~3 years after operation.

Can anastomotic ulcer be gastric cancer?

Upper abdominal pain is similar to that of ulcer disease before operation, usually more serious than that before operation. Most of the pain is paroxysmal and obvious at night. It often radiates to the back. The onset time of abdominal pain is longer and the remission period is shorter. Eating or taking acid inhibitors or vomiting can only relieve it temporarily. Abdominal tenderness is consistent with abdominal pain, and sometimes abdominal muscle tension can be found in abdominal pain. Some patients may have perforation, obstruction and bleeding.

The treatment of anastomotic ulcer is basically the same as that of duodenal ulcer. When the effective drug reaches the therapeutic dose, it can be changed to maintenance dose, and long-term maintenance or intermittent maintenance treatment can be used. Some ulcers are caused by foreign body stimulation caused by non absorbed silk thread, which can be cured by removing silk thread under endoscope. The operation method should depend on the original operation, including remnant stomach resections, vagotomy, remnant sinus resection, etc.

Gastric cancer anastomotic ulcer is a common phenomenon after operation. If there is ulcer, it should be treated with medicine in time and rechecked regularly to avoid recurrence. General normal gastritis, then there will be atypical hyperplasia, there will be intestinal metaplasia, but there is only this possibility, not necessarily will happen. In view of patients with gastric cancer, at present, it is only possible to prevent the occurrence of gastric stump cancer.

matters needing attention

In order to prevent stroke and other conditions, it is recommended that you go to the neurology department of the hospital for relevant examinations, such as CT or Mr. it is better to determine the cause of the disease, and do not treat blindly, so as not to delay the disease. Suggestions: pay attention to rest and avoid spicy food. The specific treatment is decided by the local doctor according to the specific situation of the patient