Is chemotherapy needed after gastric cancer surgery? Determined by the condition

Whether or not to do chemotherapy after gastric cancer surgery is determined by the condition of the patient. Patients with poor general condition, postoperative stage I patients and no high-risk patients generally do not need chemotherapy after surgery. Patients with poor pathological types, such as patients with high-risk vascular factors, should consider chemotherapy after surgery. Patients with stage II and III generally need chemotherapy after surgery. If patients with stage IV undergo palliative surgery, chemotherapy is also required after surgery.

When a disease turns into cancer, chemotherapy will generally be performed to control the progression of the disease and relieve the patient's pain. However, chemotherapy is not necessary for every type of cancer. Some diseases must be treated with chemotherapy after surgery. So is chemotherapy needed after gastric cancer surgery?
Whether chemotherapy is needed after gastric cancer surgery depends on the tumor stage, pathological type, and whether there are high-risk factors. In the early stage, if there are no high-risk patients, chemotherapy is generally not required after surgery, and regular check-ups are sufficient. If the pathological type is worse, such as patients with high-risk factors such as vascular and nerve invasion, chemotherapy should be carefully considered after surgery. Patients in stages II and III generally need chemotherapy after surgery. If stage IV patients undergo palliative surgery, chemotherapy is also required after surgery because postoperative chemotherapy can reduce the recurrence rate of gastric cancer and reduce the risk of distant metastasis of the tumor.
Contraindications for this type of gastric cancer include the simultaneous failure of important organ functions. The patient's general condition is relatively poor, and it is difficult to tolerate a curative resection. If surgical lymph node dissection is chosen, the purpose of cure cannot be achieved. Because of extensive lymph node metastasis. During the preoperative examination of distant lymph node metastasis or hematogenous metastasis, left supraclavicular lymph node metastasis can be seen. In addition, there will be combined ascites in the abdominal cavity, and there will be scattered metastatic cancer nodes on the surface of the greater omentum and small intestinal mesentery.
Gastric cancer patients cannot eat any food after surgery. If they want to eat, they need to wait until the intestinal motility returns to normal, which is often called anal gas discharge. After the gastric tube is pulled out, they can drink a little soup every two hours. If there are no uncomfortable symptoms, they can eat some light liquid food on the second day after surgery, and the amount should be controlled at 50-80 ml each time. On the third day after surgery, semi-liquid food can be eaten. At this time, the amount can be increased to 100-150 ml, and you can eat more meals a day. The principle to be followed in diet is non-irritating. It is recommended that you eat semi-liquid food every 3 hours, and do not eat food that causes flatulence and sweet food.