Table of Contents Table of Contents
Previous Page  68-69 / 92 Next Page
Show Menu
Previous Page 68-69 / 92 Next Page
Page Background



NCCN Guidelines for Patients


Stomach Cancer, Version 1.2016

NCCN Guidelines for Patients


Stomach Cancer, Version 1.2016


Treatment guide

Metastatic cancer


Treatment guide

Metastatic cancer

Symptom control

Cancer or its treatment can cause unpleasant and

sometimes harmful symptoms. One of the most

common symptoms among people with stomach

cancer is bleeding. Bleeding may be caused by the

cancer or cancer treatment.

Endoscopic treatment may be used to stop bleeding.

Endoscopic methods include injections, clips, and

heat. Endoscopic treatment may work at first but often

bleeding returns in time. More research is needed to

learn how well endoscopic treatment works.

There are two other treatment options in addition to

endoscopic treatment. Embolization may be used

to close up or block blood vessels. Some research

supports use of EBRT to control bleeding. EBRT

stops both recent and ongoing blood loss.

Proton pump inhibitors can be prescribed by doctors

for bleeding. However, it is unclear how well they

work to stop bleeding. More research is needed.

Other symptoms related to stomach cancer include

pain and nausea with or without vomiting. Pain may

be controlled with radiation therapy, chemotherapy,

pain medication, and other methods. Likewise,

there are medicines and other methods that may

help stop nausea and vomiting. Treatment for these

symptoms will be based on whether they are caused

by a tumor blocking your gut. Read the next section,

GI blockage

, to learn more.

You may have other symptoms that aren’t listed

here. If you have a new or worse symptom, tell your

treatment team. There may be ways to help you feel


GI blockage

The cancer may block food from passing through your

stomach and intestines. If your doctor thinks there is a

blockage (obstruction), you will need to be tested. An

endoscope may be inserted down your throat and into

your stomach so your doctor can see. Another option

is to swallow a contrast dye while being x-rayed. The

x-rays are used to create a live video of the inside of

your stomach. This is a fluoroscopic assessment.

Endoscopic treatment may be used to unblock your

stomach. This treatment involves placement of a thin

metal stent while you are sedated. The stent may be

placed in the opening between your esophagus and

stomach or in the opening between your stomach and

small intestine. The stent will expand in the opening

and remain in your body to allow food to pass

through. Placement of the stent can be done on an

outpatient basis.

Another treatment for obstruction is surgery. General

anesthesia is needed. Surgery may create a bypass

around the blockage or remove some of your


Shrinking the cancer may also help unblock

your stomach. To shrink the cancer, EBRT or

chemotherapy may be used.