The Changing Face of Stomach Cancer: Why Early Detection is More Crucial Than Ever
Stomach cancer, once the leading cause of cancer-related deaths in Korea, is now ranked fifth, thanks to increased early detection through screenings like endoscopy and advancements in treatment techniques. However, a concerning trend is emerging: a rise in cases among younger adults and a shift towards more aggressive forms of the disease.
From Lower to Upper: The Shifting Landscape of Stomach Cancer
Historically, stomach cancers were more commonly found in the lower portion of the stomach. Now, doctors are observing a significant increase in cancers located in the upper stomach, near the esophagus. These “upper stomach cancers” are often more difficult to treat and have a higher propensity for spreading to other organs.
“The pattern of stomach cancer is changing,” explains Dr. Choi Seong-il, a leading gastrointestinal surgeon at Gangdong Kyung Hee University Hospital. “We’re seeing more upper stomach cancers, which are more aggressive and tend to metastasize more readily.”
Younger Patients, Delayed Diagnoses
Alongside the shift in location, there’s a worrying increase in diagnoses among individuals in their 30s and 40s. This demographic often delays seeking medical attention, sometimes only presenting symptoms when the cancer is already advanced. A reluctance to undergo endoscopic examinations is a contributing factor.
“Younger people tend to avoid endoscopy,” Dr. Choi notes, “and often don’t seek help until they experience advanced symptoms like weight loss or black stools. This delay can significantly impact treatment outcomes.”
Advancements in Treatment: A ‘Fast Track’ to Recovery
Despite these challenges, significant progress is being made in stomach cancer treatment. Gangdong Kyung Hee University Hospital achieved a Grade 1 rating in the 2024 Health Insurance Review & Assessment Service’s stomach cancer appropriateness evaluation. The hospital offers a “fast track” system, enabling patients to move from diagnosis to surgery within an average of 10 days.
Surgical techniques, including laparoscopic and robotic surgery, are becoming increasingly sophisticated. Robotic surgery, in particular, allows for precise removal of tumors, even in hard-to-reach areas around the pancreas and esophagus.
New Therapies on the Horizon
Researchers are also exploring innovative treatments, such as intra-peritoneal chemotherapy for patients with abdominal spread. This involves directly administering high-dose chemotherapy into the abdominal cavity, minimizing side effects whereas maximizing effectiveness. Clinical trials are currently underway to assess the long-term benefits of this approach.
Prevention is Key: Lifestyle and Screening
Adopting a healthy lifestyle remains the cornerstone of stomach cancer prevention. This includes limiting consumption of salty and spicy foods, reducing alcohol intake, and consuming a diet rich in fruits and vegetables. Addressing Helicobacter pylori infection is also crucial, as it’s a major risk factor for the disease.
Regular screening is paramount, especially for those over 40. Early-stage stomach cancers often present with no noticeable symptoms, making screening the most effective way to detect the disease.
FAQ
Q: What are the symptoms of stomach cancer?
A: Early-stage stomach cancer often has no symptoms. Later stages may cause abdominal discomfort, indigestion, weight loss, and changes in bowel habits.
Q: How often should I get a screening for stomach cancer?
A: Individuals over 40 are recommended to undergo endoscopy every two years.
Q: Is stomach cancer curable?
A: Yes, especially when detected early. Stage 1 stomach cancer can often be cured with endoscopic removal alone.
Q: What is intra-peritoneal chemotherapy?
A: It’s a treatment where high-dose chemotherapy is delivered directly into the abdominal cavity, often used for patients with advanced stomach cancer.
Did you know? The survival rate for early-stage stomach cancer is significantly higher than for advanced stages, highlighting the importance of regular screening.
Pro Tip: If you experience persistent indigestion or unexplained weight loss, consult your doctor immediately.
Learn more about gastrointestinal health and cancer prevention by exploring articles on Gangdong Kyung Hee University Hospital’s website.
Have questions about stomach cancer or your risk factors? Share your thoughts in the comments below!
