NCLEX Review & Nursing School

GASTRIC CARCINOMA

– carcinoma in the stomach

Causes/Factors

• INFECTION (H. PYLORI)
• PERNICIOUS ANMEIA
• BARRET’S ESOPHAGUS
• SALTED FOOD/MEATS

ASSESSMENT:

• Weakness
• Fatigue
• Shortness of Breath

Treatment:

• Chemotherapy
• Radiation

Surgery

Will depend mainly on where the cancer is located

Two Types:

• Partial (subtotal) gastrectomy for tumors at the lower part of the stomach: The surgeon removes the lower part of the stomach with the cancer. The surgeon attaches the remaining part of the stomach to the intestine. Nearby lymph nodes and other tissues may also be removed.
• Total gastrectomy for tumors at the upper part of the stomach: The surgeon removes the entire stomach, nearby lymph nodes, parts of the esophagus and small intestine, and other tissues near the tumor. Rarely, the spleen also may be removed. The surgeon then connects the esophagus directly to the small intestine.