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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

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.