Symptoms and course of gastric cancer

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In this condition, despite growing hunger, ill try to eat less for fear of occurrence associated with the ingestion of the pain, sometimes arising aversion to food. Such patients often begin daily to flush the stomach, then they feel a great relief. However, the amount of water and nutrients in the body, does not increase and patients begin to steadily depleted and dehydrated.
In some patients, with the defeat of the output Department obstruction of not only developing, but on the contrary, the porter, infiltrated cancer, losing the capacity to contract, represents a solid gaping tube through which falls freely all the food received in the stomach. A similar phenomenon can be observed when a part of the wall gatekeeper remains free from the tumor, but the gatekeeper is not reduced and does not close the exit from the stomach due
the defeat of the respective nerve devices or for loss of reflex in the absence of the normal secretion of gastric juice and, in particular, the lack of hydrochloric acid. Fast transition undigested food in the intestine leads to the constant feeling of hunger, in connection with which the patients want to eat a lot, but despite this, rapidly depleting, as adopted food in intestine is poorly absorbed. The chair of such patients, frequent, liquid, with a large number of undigested food particles. You have to think that the big role in it plays the involvement and pancreas, and therefore off not only gastric, and pancreatic digestion.
Many patients come to the surgeon only when they have through the abdominal wall is already possible to probe the cancer. This mainly applies to tumors of the lower third of the stomach. The tumor is located at the entrance to the stomach or at the bottom of it, to touch possible only in exceptional cases, with its very large size slim, with loose abdominal wall patients; during deep breathing patient, when due to shifting of the stomach together with the swelling down it comes from the left costal arch. However, the available palpation is only the lower part of it. Note that the localization of cancer in the upper third of the stomach is palpated in the left hypochondrium like formation are mostly not the primary tumor and metastatic nodes in the area of the greater curvature of the stomach, gastric-obdachlosen together, seal or other adjacent structures.
More often it is possible to probe the tumor output Department - gatekeeper and antral. It's hard, lumpy, in one degree or another painful education, easily movable until then, until grow in the low mobility of the adjacent organs. This tumor mobile not only in breathing, shifting during inhalation down, and during exhalation up, but its easy to shift exploring hand, sometimes at a considerable distance. Often these tumors do not lose this ability even when germinate in cross the colon and even in the pancreas that some people, especially in malnourished, many parous women with flabby belly, can be very mobile. The tumor can grab the hand and even with a deep breath to keep in place if it is not associated with the liver, if she liver linked one way or another, to hold her hand while breathing fails. When exhaling, she will pass out of the hands after shifting up by the liver.
It should be borne in mind that the stomach may be covered cancer left lobes, which, increasing downward and to the left, is located between the abdominal wall and stomach, sometimes closing and cross the colon. This usually occurs when metastatic lesions. Then apparently in epigastria thick, rough tumor may be mistaken for a tumor of the stomach. However grab her hand and hold during breathing fails the same way as those tumors of the stomach, which firmly adherent to the liver.