NCCN Guidelines for Patients
Stomach Cancer, Version 1.2016
Overview of cancer treatments Endoscopic treatment
issection) is a newer
type of endoscopic treatment that is more extensive
than EMR. It is likely the preferred endoscopic
method for removing deeper, early stomach tumors.
ESD removes a tumor in one piece with special
knives. Removing the tumor in one piece reduces
the chance of the tumor returning. This is a very
challenging procedure to do. ESD is generally only
done at centers that specialize in such procedures.
Only a small group of people with stomach cancer are
able to have this treatment.
ESD is often performed under general anesthesia.
The procedure may take 2 to 4 hours to complete.
You may stay in the hospital for a few days or up to 5
days if there are major complications like a tear in the
stomach wall. After healing, your stomach will likely
work almost as well as before since only the first layer
of the stomach wall is removed.
Side effects of endoscopic treatment
Side effects are unhealthy or unpleasant physical
or emotional responses to treatment. Endoscopic
treatments may cause a sore throat, pain in the chest,
or gas. More serious but less common problems
are bleeding, a tear through the stomach wall, or
narrowing of the stomach. The chances for bleeding
and tears are greater for ESD than for EMR.
Not all side effects of endoscopic treatment are listed
here. Please ask your treatment team for a complete
list of common and rare side effects. If a side effect
bothers you, tell your treatment team. There may be
ways to help you feel better.
Supportive care doesn’t aim to treat cancer but aims to improve quality of life. It is also
called palliative care. It can address many needs.
One example is treatment for physical and emotional symptoms. Supportive care can
also help with treatment decisions as you may have more than one option. It can also
help with coordination of care between health providers.
Talk with your treatment team to plan the best supportive care for you.