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NCCN Guidelines for Patients


Stomach Cancer, Version 1.2016


Preparing for treatment

Treatment team meetings | Good nutrition

Treatment team meetings

Treatment of stomach cancer takes a team of

doctors and other experts. It is important that all the

experts involved in your care meet often to make

joint decisions about your health care. NCCN experts

advise that meetings take place every week or every

other week. Your treatment team may include a:

• Pathologist – an expert in testing tissue to find


• Radiologist – an expert in reading imaging


• Oncology surgeon – an expert in cancer


• Medical oncologist – an expert in cancer


• Gastroenterologist – an expert in digestive


• Radiation oncologist – an expert in radiation


• Supportive care specialist – an expert in

improving quality of life,

• Nutritionist – an expert in healthy foods and


• Nurse – an expert trained to care for the sick,

• Integrative medicine doctor – an expert in

mind-body treatments, and a

• Social worker – an expert in meeting social

and emotional needs.

At the meetings, your treatment team will create a

treatment plan based on the clinical stage of the

cancer. Your treatment team will also meet while

you are on treatment and afterward to discuss the

treatment results and the next steps of care.

Good nutrition

You should meet with a nutritionist before starting

treatment. The nutritionist can assess the toll of the

cancer on your nutrition. For example, the cancer

may have made swallowing difficult or painful. This is

called dysphagia, which may have stopped you from

getting good nutrition. Likewise, the cancer may also

have caused you to lose too much weight.

It is important that you receive adequate and

sustained nutrition before you start treatment. Surgery

and other cancer treatments may be too dangerous if

you are weak from a lack of nutrition. A nutritionist can

advise you on ways to eat or drink better.

You may be advised to receive your food through a

feeding tube. Two options are a PEG (






astrostomy) tube and a J-tube






See Figure 9

. A PEG tube is

inserted through your skin and into your stomach.

A J-tube is inserted through your skin and into your

small intestine.