What is the reason for stomach bloating after pancreatic cancer surgery

Pancreatic cancer is a highly malignant disease. Since the pancreas is a retroperitoneal organ, it is surrounded by abundant blood vessels and nerves and is prone to metastasis. If surgery has been done, it means that it was discovered relatively early. Now there is abdominal distension. What is the cause of stomach distension after pancreatic cancer surgery?

It is recommended to treat the symptoms, such as using some gastrointestinal motility drugs and digestive drugs to keep the bowels open, and the symptoms may be slightly better; if there is no obvious improvement, it is recommended to recheck the abdominal CT if necessary to find out whether metastasis has occurred.

Advanced pancreatic cancer can cause vomiting due to compression of the duodenum, and can also invade the retroperitoneal nerve plexus, leading to gastrointestinal dysfunction, abdominal distension, pain, etc. Treatment is difficult and can generally only relieve symptoms. Drugs that promote gastrointestinal motility or auxiliary Chinese medicine can be used to reduce abdominal distension, and it should also be checked whether there is ascites causing abdominal distension. Pain can only be treated with analgesics. Morphine can be used when necessary, but it may aggravate abdominal distension. Albumin diuresis can be supplemented, a light diet, and mosapride can promote gastrointestinal motility.

If constipation, abdominal distension and weight loss occur after pancreatic cancer surgery, on the one hand, it should be considered as the manifestation of pancreatic cancer cachexia, and on the other hand, it should be considered as the manifestation of decreased gastrointestinal digestive function after surgery. It is necessary to maintain a good attitude. After pancreatic cancer surgery, it is appropriate to further cooperate with drug chemotherapy in combination with pathological examination results, and regular follow-up examinations should be conducted.