What are the postoperative complications of gastric cancer
summary
After my uncle got gastric cancer, he couldn't eat all day, and he was very thin. Finally decided to do the operation, and then after the operation there were some complications, gastric bleeding or more serious. Next, I will talk about the postoperative complications of gastric cancer.
What are the postoperative complications of gastric cancer
First: postoperative gastric bleeding. After subtotal gastrectomy, a little dark red or brown gastric juice can be extracted from the gastric tube, generally less than 300 ml within 24 hours. After that, the color of gastric juice gradually becomes light and clear, and the bleeding stops automatically. If fresh blood continues to be sucked out after the operation and does not stop after 24 hours, it is postoperative bleeding. After the removal of the gastric tube, the patient developed persistent upper abdominal fullness, dull pain, and vomiting of gastric juice with food and bile.
Second: duodenal stump rupture, clinical manifestations of sudden epigastric pain, fever, peritoneal irritation and increased white blood cell count, abdominal puncture can have bile like fluid. Once diagnosed, surgery should be performed immediately. Alkaline reflux gastritis is a chronic inflammation of gastric mucosa, which is caused by the dysfunction of pyloric sphincter or the operation to reduce pyloric function and other reasons, including bile, pancreatic juice and other duodenal contents flowing back into the stomach. Under the action of gastric acid, it destroys the gastric mucosal barrier and causes the increase of H + diffusion.
Third: dumping syndrome, due to the loss of pyloric control over the stomach and food, the patient suddenly enters the small intestine after eating a large amount of food, which makes the patient feel full of upper abdomen, discomfort, nausea, vomiting, dizziness, fatigue, sweating, palpitation, weakness, slightly high blood pressure, and pale bread. A general rest of 10-20 minutes can relieve it. After subtotal gastrectomy, the gastric volume is reduced, and the sense of fullness is easy to appear, which leads to insufficient intake, weight loss and malnutrition.
matters needing attention
After gastric cancer surgery, patients will have a lot of complications, of course, gastric bleeding occurs frequently. Patients with postoperative nausea, vomiting phenomenon, also can not eat things, for a long time because of these complications affect health, resulting in serious malnutrition.