Treatment of postoperative esophageal stenosis after gastric cancer surgery

After gastric cancer surgery, esophageal and cardia stenosis usually occurs due to anastomotic leakage or local scar tissue hyperplasia. Treatment mainly includes two methods: drug therapy and endoscopic dilatation.

1. Drug treatment: Patients can use drugs that promote gastrointestinal motility, such as domperidone tablets, to relieve symptoms when eating; they can also take drugs that inhibit gastric acid secretion, such as omeprazole enteric-coated capsules, to reduce the occurrence of reflux esophagitis;

2. Endoscopic dilatation: If obvious stenosis is found through endoscopic examination, balloon dilatation is required to restore its patency. If the effect is not good, stent placement should be considered, which can generally be removed in about 4-6 weeks. However, some people may experience restenosis. During this period, regular follow-up should be conducted and the treatment plan should be adjusted in time according to the specific situation.

3. Other measures: For patients with more serious conditions, nasogastric feeding can be used to maintain nutritional intake. If necessary, jejunostomy can be used to provide food to supplement the body's energy and vitamins. It is also necessary to avoid spicy foods and strong tea, coffee and other drinks to avoid aggravating discomfort.

It is recommended that such patients develop good living habits in their daily lives, keep a good mood, eat a reasonable diet, and have a regular work and rest schedule. At the same time, they should also actively cooperate with doctors to actively treat the primary lesions and prevent recurrence of the disease.