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Doctor insights on: Where Does Stomach Cancer Spread After Gastric Bypass

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What are survival times for gastric cancer after total stomach removal?

What are survival times for gastric cancer after total stomach removal?

Depends on stage: At md anderson, patients who get chemo, radiation, and surgery may survive for a long time (5-7 yrs), depending on lymph node status. With chemo before and after surgery (magic trial) people live around two years. With chemo radiation after surgery (macdonald regimen) survival is less than two years. These are only statistical results, many other features contribute to prognosis. ...Read more

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Dr. Barry Rosen
4,359 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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My sister has Stage IV Lung Cancer that has spread to the bones, stomach lining, liver, aorta, stomach and elsewhere. How long will she last?

My sister has Stage IV Lung Cancer that has spread to the bones, stomach lining, liver, aorta, stomach and elsewhere. How long will she last?

Not too long: sorry to say not too long but in my view life and death is not in our hand so we all should appreciate life and live as we are going to die tomorrow by enjoying everything in life and plan as if we are going to live for ever as far your sister concern try to take advantage of the few time left and enjoy with her life as long as she still here with us ...Read more

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Why do esophageal cancer patients have a feeding tube inserted into the duodenum instead of the stomach?

Why do esophageal cancer patients have a feeding tube inserted into the duodenum instead of the stomach?

To avoid stomach: When your esophagus is removed due to cancer (esophagectomy) in order to eat again, your stomach may be used to replace your esophagus (stomach conduit). Therefore you want to avoid any surgery that may compromise the use of the stomach as a conduit. Therefore a feeding tube would be placed in the small bowel or jejunum. This is called a "j" tube. ...Read more

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How long does stomach resection surgery (for cancerous mass) usually take including rerouting of the intestine?

How long does stomach resection surgery (for cancerous mass) usually take including rerouting of the intestine?

Operator dependent: Probably 2-4 hours, depending on the habitus of the patient, the surgical approach, and the extent of the disease. Your surgeon could better give you a ballpark of procedure time. Good luck. ...Read more

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Mom has stomach cancer that spread to the pancreas. Surgery on stomach done, pancreas was left untouched (for medical reasons). Possibilities of cure?

Mom has stomach cancer that spread to the pancreas. Surgery on stomach done, pancreas was left untouched (for medical reasons). Possibilities of cure?

Need more details: Cancer of the stomach is curable in its very early stages when it is still ,localized to the stomach wall.Once it escapes and spreads to the surroundings, cure become less likely. Yet I would hold judgment unless youc an tell me where exactly is her residual cancer(?lymph nodes or invading into the pancreas?) Has she been offered or started on chemotherapy? What is her oncologist's opinion? ...Read more

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Dr. David Yan Dr. Yan
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What happens to skin after gastric bypass?

Dr. David Yan Dr. Yan
2 doctors agreed:
What happens to skin after gastric bypass?

Not much: Unfortunately, as your waistline starts to shrink, your skin stays pretty much where it was. This results in significant laxity of your skin. Your skin tends not to retract back very much, leaving you with excess, hanging skin. ...Read more

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Dr. John Fung Dr. Fung
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How come digestive enzymes are reduced after gastric bypass surgery?

Dr. John Fung Dr. Fung
3 doctors agreed:
How come digestive enzymes are reduced after gastric bypass surgery?

Loss of physiology: Food normally is mixed with acid and mechanically broken down in the upper stomach. Small amounts are released through the antrum of the stomach, which goes through the duodenum and proximal jejunum. Various substances stimulate secretion of gut hormones and enzymes. In gastric bypass operations, the antrum, duodenum and proximal jejunum are bypassed and reduce levels of these hormones. ...Read more

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Does going through gastric bypass affect your oral cavity?

Does going through gastric bypass affect your oral cavity?

Gastric bypass: Well, yes and no. I have never seen anyone complain of problems of their mouth after gastric bypass (over 5000 patients). However, I have had many patients say that food tasted differently after having surgery, and that some foods they used to love eating tasted terrible to them after having surgery. So, your taste buds may be affected after surgery. ...Read more

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How does metastasis spread from the pancreas if somebody has pancreatic cancer?

How does metastasis spread from the pancreas if somebody has pancreatic cancer?

Early: Unfortunately, it appears that pancreatic cancer spreads to other organs very early in its development before the cancer is even detectable. We believe that the cancer cells become migratory and get into the local lymphatic and vascular channels, as well as moving along nerve fibers. The cancer cells then have to "set up shop" in a new place, the most common being lymph nodes, liver, lung, etc. ...Read more

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What ais the survival rate from pancreatic cancer after a whipple procedure?

What ais the survival rate from pancreatic cancer after a whipple procedure?

10%: If a patient is a candidate for a Whipple, meaning no nodes or spread of tumor at the 1-2yr interval the survival is 10%. This may change since new immunothrapeutics are being developed. It will require a vaccine which turns on humoral immunity to produce the necessary monoclonals to prevent recurrent. The vaccine has been developed for tumor specific protein and not GVAX ...Read more

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Can a gastric sleeve cause colon cancer?

Can a gastric sleeve cause colon cancer?

Surgery and Cancer: Nope. I am curious why you would ask this question. I hope I am not misreading it. But, a surgical procedure does not lead to changing the dna and culture of another organ in the body. ...Read more

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Diagnosed with stage 1 pancreatic cancer in the head of the pancreas, i don't want surgery or chemotherapy how long will i live?

Untreated, 1-2 years: Pancreatic cancer can only be staged after surgery- information provided by a pathologist is necessary to assign a stage. If you have what appears to be early stage pancreatic cancer it would be foolish not to seek treatment since surgery can cure up to 40% of cases, and while big surgery, the risk is low (around 1%). Depending on pathology findings postop chemotherapy may provide added benefit. ...Read more

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Why does nissen fundoplication reduce reflux symptoms, but not Barrett's or cancer risk? I'm getting mixed messages on benefits of surgery.

Why does nissen fundoplication  reduce reflux symptoms, but not Barrett's or cancer risk?

I'm getting mixed messages on benefits of surgery.

Surgery will help: This is a tough question and still being looked at. The data so far does show that antireflux surgery)does shows some regression of short amounts of Barrett's. It has also helped slow the progression of Barrett's to cancer. However it does not eliminate the need for continued surveillance. Consult your physician on that. If a hiatal hernia repaired it may also help with future Barrett tx. ...Read more

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Colon cancer fluid filled in stomach can anyone tell survival period?2nd line chemo going on...Cetuximab n folfri

Colon cancer fluid filled in stomach can anyone tell survival period?2nd line chemo going on...Cetuximab n folfri

Confused???: I do not know what you mean by colon cancer fluid in stomach are you talking about ascites which is a free fluid in the abdomen or there is an abnormal connection because of the cancer between the colon and the stomach either way this is an advance cancer if surgery is not an option chemotherapy do not do much for colon cancer simply follow your doctor instruction and hope for the best. ...Read more

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Pain after total gastrectomy for carcinoma stomach?

Pain after total gastrectomy for carcinoma stomach?

Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more

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What is the risk of gastric bypass surgery leading to colon cancer?

What is the risk of gastric bypass surgery leading to colon cancer?

Risk factors: Risk factors for colon cancer include smoking, obesity, high fat diet, high red meat diet, low fiber diet, history of polyps, family history of colon cancer. I am not aware of gastric bypass surgery increasing the risk of colon cancer, but the need for gastric bypass surgery suggests that some risk factors mentioned above are likely present. ...Read more

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What doctor takes out gastric polyps? I have many in my stomach and are 3-6mm. My grandpa died of stomach cancer, mine show benign, but want them out

What doctor takes out gastric polyps? I have many in my stomach and are 3-6mm. My grandpa died of stomach cancer, mine show benign, but want them out

Gastroenterologist: A Gastroenterologist (GI) can perform an upper endoscopy to view your esophagus, stomach and duodenum (EGD procedure). Through this method he/she will view through a scope and biopsy and areas necessary such as polyps, ulcers, or any suspicious lesions. This tissue will be submitted for for evaluation by a Pathologist. Your biopsy results will be available in one week approximately. ...Read more

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What are some gastric stomach cancer medications?

What are some gastric stomach cancer medications?

Many: Best treatment depends on many things like the type of gastric cancer, stage, person's health, etc. Some gastric cancers have changes in her2 and the antibody Herceptin (trastuzumab) can be included in the treatment and some stomach lymphomas are treated with the antibody rituxan. Most stomach cancers will be best treated with chemo regimens based on an anthracycline, fluoropyramidine, taxane, or platinum. ...Read more

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Please tell me what the symptoms of gastric/stomach cancer are?

Please tell me what the symptoms of gastric/stomach cancer are?

Multiple: The principal symptoms are pain, difficulty eating, early satiety (feeling full), weight loss, and anemia. Other symptoms can occur, but these would be the ones to look for. ...Read more

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Had upper Endo, found lots 3-6mm Gastric Fundic Polyps, were benign, do they need to be monitored? Doc said no, grandpa died stomach cancer, concerned

Had upper Endo, found lots 3-6mm Gastric Fundic Polyps, were benign, do they need to be monitored? Doc said no, grandpa died stomach cancer, concerned

If these polyps: were benign, they are not precancerous. Stomach cancer do not necessarily run in families. If you have no other risk factors, such as H. pylori infection, alcohol, or tobacco, your risk is probably baseline. Ask your gi specialist for specific recommendation regarding further monitoring. But your risk of developing malignancy in another organ is probably higher. ...Read more

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I had gastric sleeve-pathologist fnd intestinal metaplasia-had endoscopy I do have im-will i get stomach cancer-is it reversible-what do I eat to live?

I had gastric sleeve-pathologist fnd intestinal metaplasia-had endoscopy I do have im-will i get stomach cancer-is it reversible-what do I eat to live?

Research interest...: Im of the stomach is believed by some to represent a precancerous change, meaning precursor lesion to gastric cancer. There are no known guidelines or surveillance recommendations yet established for this condition which remains an area of ongoing research. Follow-up with your gi. Good luck! ...Read more

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I had gastric bypass in '11, I started to gain weight '16 & found out had endometrial cancer, had a total hysterectomy, sent my body into menopause. I can't seem to stop gaining weight even restarting the post op diet of liquids. What can I do?

I had gastric bypass in '11, I started to gain weight '16 & found out had endometrial cancer, had a total hysterectomy, sent my body into menopause. I can't seem to stop gaining weight even restarting the post op diet of liquids. What can I do?

Tricky: First wt (lb) x 10 = calories used
4000 calories net in or out is a pound gained/lost.
Eat less,exercise more.
Learn from mistakes on why that didn't work out.
https://www.amazon.com/Way-Devil-Diet-Matt-Wachsman/dp/0692496157/ref=sr_1_1?s=digital-text&ie=UTF8&qid=1506143635&sr=8-1&keywords=way+of+the+devil+diet

I suspect because you are under 160 pound, burn under 1600 cal a day before exercise a ...Read more

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Gastric bypass, lapband, stomach stapling, what's the difference?

Gastric bypass, lapband, stomach stapling, what's the difference?

Bariatric surgery: It's gastric bypass, lap band, and sleeve gastrectomy. Stomach stapling can mean a lot of different things. Not enough room to answer your question here. Look on the web, like http://www.Realize.Com to read about the various operations. ...Read more

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What is the difference between gastric bypass, stomach stapling and gastric band?

What is the difference between gastric bypass, stomach stapling and gastric band?

Degrees: Band: appliance surg inserted to cinch stomach; adv.-easier surgery, reversible; disadv-less wt loss, less sustained, higher failure rate, compl, slippage, etc. Stapling-surg restrictive procedure; adv: more sustained, succ. Than above; disadv-still easy to cheat/wt gain (e.g. Melt ice cream, then drink it). Bypass: combo restrict and malabsorp; adv: more effective; dis: bigger op, more nutr risk. ...Read more

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I had the gastric bypass on 11/03 never had a problem had a baby in 12/13. I have been having stomach pains right after I eat. What can I do?

I had the gastric bypass on 11/03 never had a problem had a baby in 12/13. I have been having stomach pains right after I eat. What can I do?

Call your surgeon : You should call your gastric bypass surgeon and let them know what's going on. Recurrent abdominal pain could be from an ulcer, intussusception, or even an internal hernia. Urgency of appointment depends on severity of symptoms. Hope this helps! ...Read more

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I have stomach ulcers after gastric bypass and I have no desire to eat is that normal?

I have stomach ulcers after gastric bypass and I have no desire to eat is that normal?

No, but not uncommon: Follow up with surgeon. Tested for h .Pylori? Can cause ulcers. Marginal ulcers usually on the intestinal side of the anastomosis (seam) not rare. Needs follow up, especially if interfering with oral intake, or if vomiting ( a big deal). See your doc. ...Read more

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Im having stomach pain 10 years after gastric bypass?

Im having stomach pain 10 years after gastric bypass?

See yourMD: You need a work up..I have gastric bypass patients in our practice ..Of those with pain we have sent to GI for work up...Most of the time they find a cause..Do not delay ! ...Read more

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My friend had gastric bypass (stomach stapling) surgery and now has constant problems with dumping, gross.?

Yes one of complicat: Morbid obesity it self is a lethal disease if untreated. Gastric by pass several will have benefits, will lose weight, will be able to go back to work if they are not working due to disability, b p & diabetes will be under control or even cure, quality of life improves, how ever some will have untoward effects or complications due to by pass as you mentioned all patients will have this info. ...Read more

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I had gastric bypass 2 weeks ago Would marijuana smoke do the same harm as cigarettes would to my new stomach?

I had gastric bypass 2 weeks ago Would marijuana smoke do the same harm as cigarettes would to my new stomach?

Not usually: tobacco smoke contains a number of substances that increase stomach acid and reduce the lower esophageal sphincter pressure, which increases reflux and esophagitis, while reducing the effectiveness of gastric mucous. Marijuana smoke does much less of this, but if you have had problems with peptic ulcer, gastritis or esophagitis, you are far better off not smoking ANYTHING. ...Read more

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I had gastric bypass surgery on may 2nd 2012 and it's been great up till now I have and belching and having stomach pains radiating around my back?

I had gastric bypass surgery on may 2nd 2012 and it's been great up till now I have and belching and having stomach pains radiating around my back?

Biliary colic: These may be new symptoms unrelated to the bariatric surgery. Weight loss increases risk and incidence of gallstones. Gallstones can cause biliary colic: belching, bloating, upper abdominal pain after eating fatty foods that radiates into back. Okay to get see your doc. An ultrasound of the gallbladder can lead to a diagnosis. Avoid big meals and fatty meals until you can get evaluated. ...Read more

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Can I do the duodenal switch with a BMI of 27.5? Had gastric bypass 7 yrs ago. Gaining weight again. I exercise, but my stomach fits a lot of food!

Can I do the duodenal switch with a BMI of 27.5? Had gastric bypass 7 yrs ago. Gaining weight again. I exercise, but my stomach fits a lot of food!

No: Duodenal switch will not work in a patient that has undergone gastric bypass, since the food stream no longer goes by way of the duodenum. If you are gaining weight after a gastric bypass, you should see your surgeon or a specialized GI physician, who can determine the cause for weight gain. This is usually due to enlargement of the connection between the stomach pouch and the intestine. ...Read more

Dr. Gregg Nishi
476 doctors shared insights

Gastric Bypass Surgery (Definition)

Gastric bypass surgery is a restrictive and malabsorptive procedure to help lose weight. Restrictive is in the fact that the stomach is down sized to a 2 oz pouch and malabsorptive is in bypassing part of the stomach and 100 to 150 cm of the small ...Read more


Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more