Prevent gastric cancer, what kind of person do gastroscopy

　　Gastric cancer is a common malignant disease with a high incidence, but gastric cancer can be prevented and treated. It can be detected and treated early, and the cure rate can reach 90%. Therefore, when there are related symptoms, they should be checked in time to effectively prevent gastric cancer. So what kind of people need to prevent gastric cancer and undergo gastroscopy?
　　1. What are the symptoms of stomach cancer?
　　There are multiple stages, multiple levels, and multiple factors in the occurrence of gastric cancer. Patients with early gastric cancer often have no obvious symptoms. Some patients may only have upper abdominal discomfort, loss of appetite, belching, fullness, etc., but when the symptoms are obvious, it means The condition has progressed to the middle and late stages, such as anemia, edema, hematemesis, weight loss, hypoproteinemia, persistent upper abdominal pain, melena, etc., which require attention.
　　2. Who are the high-risk groups for gastric cancer?
　　Due to the high incidence of gastric cancer, we have basically seen no surprises, but the early diagnosis rate of gastric cancer in China is low, which greatly affects the 5-year survival rate of patients. Therefore, it is recommended that the following populations receive early gastroscopy in order to determine the condition as soon as possible When gastric cancer is found, it can be treated in time, specifically: first, age. For gastric cancer, age is an important factor. Generally, people over the age of 40 need to be alert to gastric cancer, especially men who need to pay more attention to gastric cancer. If they have symptoms such as upper abdominal pain recently, or the original abdominal symptoms occur regularly. Changes in nature and degree also require timely medical treatment and gastroscopy; second, close relatives. If a close relative is diagnosed with gastric cancer, if there is upper abdominal discomfort, they should also see a doctor in time; third, past chronic atrophic gastritis. If you have been diagnosed with chronic atrophic gastritis, you need to be admitted to the hospital regularly for gastroscopy, especially for those with severe atrophy and also with severe intestinal metaplasia. Gastroscopy should be paid more attention to. Generally speaking, patients with mild atrophic gastritis are recommended to undergo gastroscopy. Gastroscopy should be performed once every 5 years, while those with moderate atrophic gastritis can be rechecked once every 3 years, and those with severe atrophic gastritis should be rechecked once a year to effectively rule out gastric cancer. Fourth, bad living habits. When people have long-term habits such as drinking, smoking, and excessive eating, they need to pay attention to gastroscopy; fifth, the high-risk area of ​​gastric cancer. If you live in an area with a high incidence of gastric cancer, it can also increase the risk of gastric cancer due to factors such as diet and environment, and prompt investigation is required.
　　3. What is the relationship between gastric disease and gastric cancer?
　　When accompanied by gastric ulcers, chronic gastritis, Helicobacter pylori infection and other gastric diseases, you may not get gastric cancer, but it will also increase the risk of cancer. Therefore, if you have gastric ulcers, you need to see a doctor in time and receive regular inspections to avoid deterioration and gastric cancer; if you have chronic gastritis, especially long-term chronic gastritis or severe chronic gastritis, when atypical hyperplasia or intestinal metaplasia occurs When health and atrophic changes, you must be alert to gastric cancer; if you are infected with Helicobacter pylori and the test result is positive, combined with chronic gastric diseases such as gastric ulcer and chronic gastritis, you are prone to gastric cancer, and you need to clear Helicobacter pylori in time. It needs to be cleared in person, and family members also need to be checked in time to avoid Helicobacter pylori infection.
　　4. What are the diagnostic methods for gastric cancer?
　　Pathological biopsy plus gastroscopy is the “gold standard” for the diagnosis of gastric cancer. Of course, staged diagnosis is needed afterwards. So at present, gastroscopy is the best method for the diagnosis of gastric cancer, and its diagnostic effect is better than CT, MRI, ultrasound and other examinations. Therefore, do not perform other examinations because of the pain of gastroscopy, otherwise it will directly affect the cure rate. As far as gastroscopy is concerned, it can use a soft, slender tube to observe the stomach through the bottom probe. Even if the lesion is relatively subtle, it can be effectively found. And now gastroscopy has made significant progress, most hospitals are developing ultra-fine Endoscopy, painless gastroscopy, examination pain is greatly reduced, but the subject should also pay attention to the following precautions before the examination, so as not to affect the examination results. In detail: First, if you are taking anticoagulant drugs recently, you need to stop the drug Receive gastroscopy after 7 days; second, do not eat 8-12 hours before receiving gastroscopy; third, if the subject has coronary heart disease or high blood pressure, you can take coronary dilatation drugs normally on the day of gastroscopy ,Antihypertensive drugs. If there are no other special circumstances, you can drink and eat within 2 hours after undergoing gastroscopy. However, it is recommended that the water and food should be warm and soft, and avoid irritating and high-temperature foods; in addition, if you are very afraid of gastroscopy, you can also You can communicate with your doctor to receive gastroscopy under sedation, that is, painless gastroscopy. To ensure the safety of the examination, several other laboratory tests are required before gastroscopy. The subject should actively cooperate.
　　5. What should I do if I have stomach cancer?
　　Most people think that they are scared to death after getting gastric cancer. In fact, this statement is too exaggerated. There are very few patients who die in clinical practice. Gastric cancer is not as scary as we think. Most patients with gastric cancer can live with cancer, so It is recommended that after learning that you have stomach cancer, you should not panic, you need to actively adjust your mentality, and family members do not have to regard the patient as a “porcelain doll”, otherwise it will make the patient a psychological burden and feel that life is worthless. In addition to adjusting the mentality, scientific medical treatment is also needed. In real life, some patients are often treated irregularly, which can easily stimulate the growth of tumor cells and increase the difficulty of subsequent treatment. Therefore, the first diagnosis and treatment is very important and should be paid attention to by gastric cancer patients. Regarding the first diagnosis and treatment, the patient must be clear about two points. One is to go to the digestive tumor specialist, and the other is to cooperate with the doctor to evaluate and check the condition before making a treatment decision. Most patients are very anxious, always thinking that they will be diagnosed today, and surgery will be arranged tomorrow. In fact, when gastric cancer is discovered, it has been some time since the onset of gastric cancer, so they are not in a hurry for these three to five days, except for patients with severe complications such as obstruction and bleeding. In addition to the operation as soon as possible, some waiting is actually for better treatment. After the doctor has a comprehensive understanding of the patient’s physical condition and the time of the tumor in combination with the examination results, he can tailor a scientific treatment plan to improve the survival rate, so do not be affected by a momentary rush Overall efficacy.
　　In short, people over the age of 40, close relatives who have been diagnosed with gastric cancer, those with a history of chronic atrophic gastritis, those with bad lifestyle habits, and those who live in areas with a high incidence of gastric cancer for a long time need to be alert to gastric cancer and undergo regular gastroscopy to effectively prevent it. Stomach cancer.