Treatment of squirt gate stenosis after gastric cancer surgery

Esophageal and cardia strictures occur after gastric cancer, usually caused by anastomotic leakage or local scar tissue hyperplasia. The treatment mainly includes drug therapy and endoscopic dilation.

1. Drug treatment: patients can appropriately use drugs to promote gastrointestinal peristalsis such as domperidone tablets to relieve symptoms when eating, and can also take drugs that inhibit gastric acid secretion such as omeprazole enteric-coated capsules to reduce the occurrence of reflux esophagitis;

2. Endoscopic dilation: If there is obvious stenosis through endoscopy, balloon dilation is required to restore its patency.If the effect is not good, it is necessary to consider stent placement, which can generally be removed in about 4-6 weeks, but some people will have restenosis, during which time should be reviewed regularly, and the treatment plan should be adjusted in time according to the specific situation.

3. Other measures: For those who are more seriously ill, they can maintain their nutritional intake through nasogastric diet, and if necessary, they can also use jejunostomy to provide food to supplement the energy and vitamins required by the body. It is also important to avoid spicy foods, strong tea, coffee and other beverages to avoid aggravating the discomfort.

It is recommended that such patients should develop good living habits in their daily life, maintain a comfortable mood, eat a reasonable diet, work and rest regularly, and actively cooperate with doctors to actively treat the primary lesion to prevent the recurrence of the disease.