The reason why stomach cancer fell to the 4th place in cancer cases │ Hankyung Magazine


3 Reasons Stomach Cancer is on the Decrease
FirstlyThis is because the rate of infection with Helicobacter pylori in Koreans is decreasing.. Helicobacter pylori is a bacterium that lives in the gastric mucosa and is known to be the main cause of gastric cancer.. Helicobacter pylori infection rate Even in the 1990s was 70%In recent years fall significantly below 50%.

Another reason is early diagnosis. stomach cancer 40-50% have a previous lesion such as an adenoma. Gastric adenomas progress to gastric cancer over several months to years.according to histological findings, 1%, at most Around 30% already contain cancer cells at the time of diagnosis. With the generalization of gastroscopy, resection in the adenoma stage has increased.. Stomach cancer is reduced little by little by taking steps before it progresses to stomach cancer.

Sodium is also a cause of stomach cancer, although not as much as Helicobacter pylori.Koreans sodium intake decreased. The daily intake of sodium in Koreans in 2011 was WHO as 4831mg(WHO) recommended level 2000mg close to 2.5 timesfrom 2019 reduced to 3289 mg 8 years 32% discount.

Advanced gastric cancer if you have symptoms of indigestion or heartburn
In the early stages of gastric cancer, there are few symptoms.. If there are symptoms, it is likely to be due to atrophic gastritis with gastric cancer. If you are experiencing symptoms due to stomach cancer, it may be at an advanced stage.. The most common symptom is indigestionis heartburn. Abdominal pain if the cancer is developingbleedingintestinal obstruction, etc.. Bleeding occurs when the mucous membrane of the stomach is peeled away.vomiting blood through the mouthsee also black stools. If you have an intestinal obstruction, you may vomit or vomit a bad smell.. Weight loss as the cancer progressesjaundiceperforation, etc. appears. However, not all advanced gastric cancer has symptoms..

Half of patients with stage 4 gastric cancer have no symptoms. Therefore, a regular gastroscopy is necessary.. Gastroscopy is the most important method for detecting gastric cancer. In Korea, gastric cancer screening is included in the national cancer screening program. Adults over 40 may have no symptoms A gastroscopy or upper gastrointestinal angiogram is recommended every two years.. If there is a family history of gastric cancer or a precursor of gastric cancer, the high risk group should be treated earlier. An inspection can be carried out once a year. Gastroscopy every 2 years 90% of stomach cancer is detected in the early stages, so don’t forget to check.

Gastric cancer, surgery is the primary … Early gastric cancer survival rate reaches 95%
Gastric cancer treatment is based on surgery.. stomach cancer 5 year survival rate From 2016-2020 onwards about 78% 10 years ago(200-2010) relative survival rate an increase of 9.5 percentage points. Because early detection of gastric cancer has increased. In case of early gastric cancer, endoscopic resection can be performed.. Endoscopic resection, which goes into the stomach with an endoscope without opening the stomach and cutting the cancer, expands.. Endoscopic resection is a good cancer cell with good differentiation between early gastric can be applied when cancer is confined to the mucosa. There should be no lymph node metastasis. Current early gastric cancer patients third 1 is performed by endoscopic resection.. However, even in early gastric cancer, poorly differentiated cancers or cancers that have spread deep into the submucosa require surgery.. Because the lymph nodes need to be removed..

Gastric cancer surgery is mainly performed laparoscopically.. Comparing laparoscopy with laparoscopy, the cure rate is the same, and postoperative complications are definitely less with laparoscopy.. Two large multicenter studies also confirmed it. Laparoscopic surgery has the advantage of low complications, so it can be used not only for early gastric cancer but also for advanced gastric cancer.(up to 3rd period) also applies to.

Gastrectomy is performed in the direction of sparing the stomach as much as possible.. The aim is to leave the above functions so that the patient does not have problems with eating and nutrient intake after surgery.. Traditionally, if the cancer is in the lower stomach, the lower stomach third 2 is removed and the rest of the stomach is connected to the small intestine. ‘Distal gastrectomy‘ mainly implemented. If the cancer is in the upper part of the stomach, in several places, or if the cancer is severe, the whole stomach is removed and the small intestine is pulled up and connected to the oesophagus. ‘Total gastrectomy‘ put it into practice.

Recently, surgery is performed to preserve the function of the stomach by sparing the stomach as much as possible.. It is mainly applied to early gastric cancer.Representatively there are two. ‘pylorus-preserving gastrectomy’class ‘Proximal gastrectomy‘to be. A pylorus-sparing gastrectomy spares the pylorus between the duodenum and the stomach and After cutting about 50%connects the rest of the stomach and the pylorus. Because the pylorus is spared, food goes down immediately to prevent diarrhea after surgery.. It also has the benefit of reducing post-operative gastric inflammation by preventing the reflux of food from the duodenum into the stomach..

There is also a proximal gastrectomy.. How to cut off the top halfIf there was cancer in the upper part of the stomach in the past, the whole stomach was removed.. In this way, vitaminsVitamin B12 is poorly absorbedLifelong B12 supplemental injections and severe weight loss significantly reduced patients’ quality of life. So, I tried to cut only the upper half of the stomach for quite some time.. However, a lot of gastric acid from the rest of the stomach went up into the esophagus, so esophagitis was a big problem.. Recently, the small intestine is pulled up to connect the esophagus and the small intestine.A new type of proximal gastrectomy that connects the small intestine to the remaining stomach is performed.. When food is ingested, some food goes straight into the small intestine and some goes through the stomach..

Recently, the reason for trying to perform surgery to preserve gastric function as much as possible is that gastric cancer patients 70% of early gastric cancerthe survival rate of early gastric cancer is Because it reaches 95%. Careful consideration is needed for the rest of the patient’s life..

To prevent stomach cancer
Once a Helicobacter pylori infection is confirmed, it is safe to eradicate it.. Currently suffering from △ peptic ulcer or △ gastric ulcer Health insurance benefits for eradication treatment are provided to patients with MALT lymphoma, △early gastric cancer surgery, or △idiopathic thrombocytopenic purpura.. Even if you don’t have them, you can manipulate them if you want..

Lifestyle changes are also important.. The stomach is where undigested food stays the longest.Additives such as salt or nitrate contained in food are known to stimulate the gastric mucosa and increase the incidence of gastric cancer.. This is the reason why the incidence of gastric cancer is high in Korea and Japan, where salty foods are enjoyed.. Nitrate, which is contained in many food additives, turns into nitrite, a carcinogen, at room temperature.This is the reason why the number of gastric cancer cases has decreased in the West since the introduction of refrigerators in the 1950s.. saltnitratereducing intake of foods high in nitrite and eating fresh foods is good for stomach health. he should not smoke.

Correspondent Lee Geum-suk Health Chosun

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