Re: Quadruple bypass and stomach cancer

From: J (jarvinia_at_example.org)
Date: 06/14/04


Date: Mon, 14 Jun 2004 14:06:21 -0400

Doe John wrote:

> Just found out my father had a heart attack and required quadruple
> bypass this past weekend. He also was diagnosed with stomach cancer
> and will have surgery this Thursday. Don't know what stage, or if a
> subtotal or total gastrectomey is required or if the cancer
> metasticized, or if the upper of lower stomcah is the culprit.
> Mortality rates greatly differ depending on which section of the
> stomach is affected. Tests not in yet.Have to fly back to him this
> Thursday. Is it wise/safe to have stomach cancer surgery so soon after
> a quadruple bypass? He is 74. My sis and mom told me he was very weak
> but was able to sit up after the heart surgery and seemed in decent
> spirits.
>
> When he was 20, my dad had an ulcer operation in his stomach and
> apparently , that is where the cancer is centered.He was also a heavy
> smoker til he was 50, but has been pretty health conscious since then.
> According to my sis, the stomach operation has to be performed asap to
> prevent spreading of the cancer.
>
> Fortunately, the Chief cardiologist, who did residency with my
> dad(also a surgeon) long ago, operated on his heart. Don't know about
> the gastroenterologist. Reading info on stomach cancer on the net,
> doesn't look good. Mortality rate is high, remission is very rare,
> reoccurance is high and discovering areas that the cancer has spread
> to is difficult.Don't know if a resident who is learning and stumbling
> will be working on him, or someone with decades of experience.
>
> I can't freaking sleep.

Hi there, I'm sorry to hear about your father, but happy to hear the bypass
surgery went well.
It's my understanding that such (many) patients are released quite quickly
from the hospital and from there they have to undergo rehabilitation for
quite a period of time. Since we don't which type of bypass surgery he had,
I expect he would have to speak to his cardiologist about the risks of
undergoing another surgery so soon after such surgery.

I seem to recall comments from two newsgroup doctors: these are not exact
quotes because I don't have time to try and find their posts.
"stomach cancer can be curative, with surgery, if caught early"
"once inside, they have to look and feel around " (ie to see and decide
exactly what has to be removed).
So, if I'm recalling the above accurately, it's very hard to even predict
how long the surgery (under anesthetic) might be. Surely if your father is
a surgeon he'll know this or find this out.

There's diagrams here and explanations of what they may remove
http://www.cancersupportivecare.com/stomach.html
Also they mention some of the possible after effects, depending on what
they do during the surgery.

You may wish to join the newsgroup alt.support.cancer
Perhaps others over there can be a support system for you.

I wish your father well and do let us know how it's going, as you are able.

J-not a doctor



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