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Thursday, March 5, 2009

Stomach Cancer

What is stomach cancer?

Stomach cancer is a form of cancer that can begin anywhere in the stomach. A stomach tumor or other type of stomach cancer occurs when cells in the stomach grow out of control and become tumors. Stomach cancer cells take over healthy cells. They may then spread throughout the stomach and then to other organs and parts of the body, especially the esophagus and small intestine.

Stomach cancer often begins with the development of a benign growth known as a polyp. These polyps may lead to a stomach tumor later on. Also see stomach cancer causes.

Stomach cancer statistics

According to the American Cancer Society,

* about 21 thousand Americans are diagnosed with stomach cancer annually
* 13 thousand of these stomach cancer cases will be men
* 8 thousand stomach cancer cases will be women
* average age when stomach cancer is diagnosed is 71.
* about two thirds of stomach cancer cases are diagnosed after age 65.
* a person's risk of developing stomach cancer in their lifetime in the United States is approximately 1 in 100.
* Early stage stomach cancer diagnosis results in a 75 percent chance of survival for at least five years. Diagnosis in the late stages usually results in a 30 percent chance.

Stomach cancer used to be the leading cause of cancer-related deaths in the United States, but the number of cases has been decreasing in recent years.

Stomach cancer is more common worldwide than in the U.S. There are many more cases in Japan, Korea, Great Britain, South America and Iceland. Japan, in fact, has more than 10 times as many cases as the U.S.. However, native Japanese people who move to the United States and adopt American eating habits develop fewer cases of stomach cancer than people in Japan who eat a typical Japanese diet.

Stomach cancer risk factors

Researchers have found evidence that diets that include a lot of salt and nitrates probably increase a person's chances of getting stomach cancer.

Despite mounting belief that certain diets may be a factor, there's no medical evidence yet regarding the cause of stomach cancer. But there are some known risk factors, especially in certain industries. People who work in the coal mining, timber, nickel and rubber industries all have high rates of stomach cancer.

People with a family history of stomach cancer also seem to be at higher risk, as do those who have had stomach surgery for ulcers and pernicious anemia.

There's also a specific type of bacteria known as Helicobacter pylori which has often been found in the stomachs of stomach cancer patients.

Stomach tumor and stomach cancer types

Adenocarcinomas appear and develop in the glandular cells of the stomach lining. This is the most common type of stomach cancer.

Soft tissue sarcomas, which are extremely rare. originate from the cells in the muscle layer of the stomach.

Gastrointestinal stromal tumor (GIST) is another type of sarcoma which originate in the tissues that support the organs of the digestive system. They are also known as GISTs.

Lymphoma is a cancer of the lymphatic system. A MALT lymphoma is the main type to affect the stomach. A MALT lymphoma is also known as a MALToma.

Carcinoid tumor is another type of cancer that can affect the stomach.

Gastric Bypass Stomach Surgery

What is gastric bypass surgery?

Many people mistakenly refer to all "weight loss" stomach surgery procedures as gastric bypass surgery. In fact, gastric bypass surgery refers to surgery that involves not just the stomach, but also the intestines.

Gastric bypass surgery involves re-routing the path that food takes through the digestive system. It "bypasses" a part of the small intestine. As a result, less food is absorbed into the body, cutting down on the amount of fat and the number of calories the body will store.

Gastric bypass surgery is done under general anesthesia and takes approximately one to four hours to complete. Hospital stays range from one to seven days, depending on the type of gastric bypass surgery that's done, and other health factors relevant to the patient.

There are currently two gastric bypass surgeries, the "Roux en Y" procedure and the biliopancreatic diversion bypass.

Roux en Y Gastric Bypass Surgery

The Roux-en-Y-gastric bypass can be done the traditional way, using a large incision in the abdomen. It can also be done laparoscopically, using several small incisions and a special tube equipped with a tiny camera. There less scarring when the procedure is done with a laparoscope, and the recovery time is shorter. But laparoscopic Roux en Y operations haven't been around as long as "open" surgeries, so long term results are unknown.

The Roux-en-Y bypass is being done more often because it's generally simpler than the biliopancreatic diversion bypass.

Biliopancreatic Diversion Bypass Surgery

The biliopancreatic diversion bypass is done less frequently than Roux en Y. It's more complicated because it's done through a large incision in the abdomen, leaves a permanent scar, and requires a longer recovery. There's also a higher risk of nutritional problems.

Gastric bypass surgery has helped hundreds of thousands of morbidly obese people lose weight and enjoy a better quality of life. They feel that they look better, they're able to get around more easily, and there's usually an overall improvement in their health.

Nonetheless, gastric bypass surgery is serious, and no one should take gastric bypass operation lightly.

Note: Lap-Band surgery is a form of weight loss surgery, but it doesn't involve an intestinal bypass element. Therefore it isn't really gastric bypass surgery, and is covered elsewhere on this website.

Indigestion

Indigestion - Causes and Relief


If you’ve ever had to suffer through indigestion, you know very well how much of a problem this condition can be. For some people, indigestion is a mild and occasional nuisance. For others, it’s a serious, bothersome condition that can affect sleep, enjoyment of meals and general well being. Here’s what you really need to know about indigestion.

Indigestion is medically known as dyspepsia and is the term used to describe one or more symptoms related to eating such as:

• feeling full during a meal
• feeling uncomfortably full after a meal
• feeling sick and bloated after a meal
• burning and pain in the upper abdomen

This is a very common digestive condition in adults and can occur every day or just once in a while. There are different causes of indigestion. Some include GERD (gastroesophageal reflux disease), cancer, peptic ulcer disease, and more. It’s also possible for a person to have indigestion with no obvious cause.

While indigestion is a very uncomfortable condition, there are some things you can do to find relief. For example, eating small meals several times a day instead of just three large meals can help aid digestion.

Avoiding smoking, alcohol, caffeine and carbonated beverages can also help reduce indigestion. You should also avoid medications that irritate the lining of the stomach such as aspirin.

Some people find antacids to be helpful in treating occasional indigestion and also avoid eating right before bed. When you lie down after eating, your food does not have a chance to settle and digest properly. There are also some prescription drugs that are helpful in severe indigestion cases. You will need to speak with your doctor about these to be sure they are right for your case.

Emotional stress also leads to indigestion so try to avoid it as much as possible and learn new ways to manage the stress in your life that can’t be avoided. If your indigestion continues or becomes very severe with vomiting and pain, it could be a sign that something more serious is wrong. You should see your doctor to be sure.

What Is Acid Reflux?

What Is Acid Reflux?

Acid reflux, which is known medically as gastroesophageal reflux disease or GERD and is often called "heartburn" by the general public, occurs when liquid content of the stomach back up into the esophagus. This liquid contains stomach acid which can irritate and inflame the tissue of the esophagus, causing a burning sensation in the esophagus in the chest area near the heart: thus the name "heartburn."
When acid from the stomach backs up in this way, it is described as "reflux."

The liquid might also contain a a digestive enzyme called pepsin, or in some cases, even bile from the duodenum (the area where the stomach attaches to the small intestine). These may have a role in causing acid reflux, although it is believed to be a lesser role.

A certain amount of reflux occurs in almost everyone at one time or another. But those who suffer from GERD, the refluxed liquid contains a higher level of acid. The reflux also reaches a high level in the esophagus, covering (and possibly damaging) a larger area of tissue.

GERD is a considered to be a chronic condition, although treatment and preventive steps may reduce its severity.

During the day, the effects of acid reflux are less likely to occur. When a person is standing upright, or sitting, any reflux is likely to be carried back to the stomach quickly by gravity. Swallowing also carries saliva down the esophagus (saliva contains a natural bicarbonate which helps neutralize acid). Therefore acid reflux is more likely to occur when a person is asleep: gravity isn't a factor because the body is usually in a horizontal position, and swallowing stops. Therefore, refluxed liquid stays in the esophagus for a longer time.

Types of mesothelioma

Types of mesothelioma

There are a number of different kinds of mesothelioma. Although many people believe mesothelioma is a lung disease, it can also occur in other parts of the body.

Pleural malignant mesothelioma is the most common type. It affects tissue around the lungs.

Peritoneal mesothelioma occurs in the tissue of the abdomen.

Pericardial mesothelioma affects the tissue surrounding the heart. This type is extremely rare.

Mesothelioma of the tunica vaginalis occurs in the lining around the testicles. This type is also extremely rare.

Symptoms

Symptoms vary depending on location.

Pleural mesothelioma symptoms:

* Dry cough.
* Pain while coughing.
* Discomfort when breathing.
* Chest pain beneath the rib cage.
* Shortness of breath.
* Unexplained weight loss.
* Unusual lumps of tissue under the skin on your chest.


Peritoneal mesothelioma symptoms:

* A change in your bowel habits, including frequent constipation or diarrhea.
* Abdominal pain.
* Abdominal swelling.
* Lumps in the abdomen.
* Unexplained weight loss.


Little is known about the symptoms of the pericardial and tunica vaginalis types of mesothelioma because they are so rare.

Treatment

Unfortunately, mesothelioma usually isn't diagnosed until it has reached a later stage. Since it is an aggressive form of cancer, a cure is often impossible.

However, there are a number of treatment options that are used, and they vary depending on the type of cancer the patient has contracted along with a number of other factors like the overall health of the patient.

Surgery If the disease is diagnosed in an early stage, surgeons may try one of several types of to remove the cancer. These include:


Procedures to decrease fluid buildup in the chest which may cause breathing difficulty.

Removing the tissue around the lung or abdomen. A pleurectomy involves removing the tissue around the lungs. A peritonectomy removes the tissue lining around the abdomen.

Surgery known as debulking is intended to remove as much of the cancer as possible.

Surgeons may remove a lung and the surrounding tissue.


Chemotherapy This involves the use of chemicals to kill cancer cells.

Radiation This type of therapy employs high-energy beams that are directed to a specific area or areas affected by the cancer.

Combination therapy This involves using surgery, chemotherapy and radiation together. This is an extremely grueling type of treatment that isn't appropriate for everyone. Combination therapy appears to offer the most promising possibility for short term treatment, but in many cases, the cancer eventually returns.

Prevention

Prevention may be impossible for those who have been exposed to asbestos over an extended period of time. The following workers should take care to observe their employers' safety rules and procedures regarding asbestos exposure.

* Auto mechanics
* Construction workers
* Factory workers
* Gas mask manufacturers
* Insulation manufacturers
* Miners
* Railroad workers
* Ship builders


It's also important to remember that many older homes have asbestos components. But removing it can be extremely dangerous because of asbestos dust and fibers that can get into the air and therefore, into your lungs.

Check the Environmental Protection Agency website for advice on dealing with asbestos in the home.

. Mesothelioma Treatment

A. Mesothelioma Treatment

The conventional therapies are not very successful for the mesothelioma treatment. The survival time for the patients is only 6 -12 months. The malignancy of the mesothelioma is affected by many factors. One such thing is the long latency period between disease development and exposure to the asbestos.
B. Surgery

Surgery is one of the treatments on mesothelioma. The surgery can be performed alone or in combination with post and pre operative adjuvant therapy. But the results of the surgery attempted either alone or with post and pre operative therapy is found to be disappointing because the survival rate of the patients [five years] is less than 10%. The most common surgery is pleurectomy. Here the lining of the chest is completely removed. Extra pleural pnemorectomy is not very common.
C. Radiation Therapy

Mesothelioma is highly resistant to radiation therapy. But still this treatment is attempted to reduce the sufferings that arise because of mesothelioma growth. This radiation therapy is applied chest drain insertion site most commonly. This prevents the tumor growth along the wall of the chest.D. Chemotherapy

Pemetrexed is the drug that was approved by the food and administration of United States of America in the year 2004 for the treatment of pleural malignant mesothelioma. Pemetrexed is administered with cisplatin. In order to reduce the side effects of the pemetrexed, folic acid is used.
E. Immunotherapy

Immunotherapy is the other treatment option for mesothelioma. Immunotherapy produces variable results. Bacillus calmette- Guerin is found to effective in boosting the immune response for the cancer of the urinary bladder. But the same therapy attempted for mesothelioma provides no relief to the patients. Vitrolysis by LAK cells [followed by interleukin- 2 activation] is effective in destroying the mesothelioma cells.

But the biggest disadvantage here is that the suffering of the patients because of the side effects of this therapy. This treatment was really stopped because of the very serious side effects of the interleukin-2 toxicity. The most common side effect is cachexia and fever. Interferon alpha is really producing encouraging results of late. There is nearly fifty percent reduction in the tumor mass. The side effects are very, very less in this therapy.

Diagnosis Mesothelioma

Diagnosis Mesothelioma is found to be a difficult task for the medical professionals. The main misleading fact in the diagnosis mesothelioma for the health care professional is that the symptoms resemble to those of other conditions.

Diagnosis Mesothelioma by Imaging

Mesothelioma diagnosis begins with the close interaction with the patient’s anamnesis mainly the history of the exposure to asbestos, which is the precursor of Mesothelioma. The common diagnosis of Mesothelioma depends on the Lung function tests and X-rays of the chest (irregular thickening of the pleura) or abdomen. Diagnosis mesothelioma by imaging can be performed by the following procedures:

* Computed Tomography scan (CT scan)
* Magnetic Resonance Imaging (MRI)
* Positron Emission Tomography (PET)

A CT Scan and MRI

Diagnosis Mesothelioma can be achieved by performing either A CT scan or MRI scan. In A CT scan, X-ray machine is going to be useful. Here, pictures of the areas inside the body is taken in a continuous manner and is easily viewed by through the computer, which is lined to the x-ray machine.

In MRI scan, the detailed picture of the internal organs can easily be viewed and is achieved by a powerful magnet connected to the computer. The detailed picture of your internal organs can easily be achieved by MRI scan by printing the results directly from the computer.

Positron Emission Tomography (PET)

This type of diagnosis Mesothelioma is having more advantage than the CT scan and MRI scan. In the Positron Emission Tomography (PET) scans use both tracers and cameras to identify the biological changes in the cells and to spot dangerous neoplastic growth.Confirmative Diagnosis

“Diagnosis Mesothelioma” has been performed by so many ways and means. But Biopsy will give us a confirmative diagnosis. In Biopsy, a sample cancerous tissue will be removed from the site of infection. The site of infection is ascertained either by Thoracoscopy or Peritoneoscopy. Another modern technology called mediastinoscopy is useful in detecting mesothelioma in lymphnodes of mediastinum (lymphnode concerned with Lungs).

In Thoracoscopy, a small incision is made on the chest wall and a small, thin, lighted tube (Thoracoscope) is placed in between the two ribs. This will enable the doctor to see the affected tissue on the lung and the tissue samples may be obtained from the affected tissue to provide confirmative diagnosis Mesothelioma.

In peritoneoscopy, the physician may take a look into the abdominal area. A small nick is made in the abdomen and peritoneoscope is inserted through that nick. The required tissue sample will be obtained through this tube for conducting Biopsy. A more elaborate diagnostic surgery is being carried out, if these methods of collecting biopsy don’t prove fruitful results.

In mediastinoscopy, the surgeon inserts a lighted mediastinoscope in the incision made in the chest area to collect samples of the tissue. Mediastinoscopy is used for diagnosis mesothelioma in the lymphnodes of mediastinum. The sample tissue collected from the mediastinal area is subjected for different tests for differential diagnosis of Mesothelioma from other types of infection.

Diagnosis Mesothelioma by Staging

Diagnosis Mesothelioma helps to find out the stage of the disease. Staging diagnosis helps a lot to the health care provider to plan the treatment accordingly because the localized mesothelioma will become generalized by spreading from original membrane surface to other parts of body which includes kidney, liver, chest wall, lymph nodes and lungs.

What is Mesothelioma?

Mesothelioma refers to progressive growth of malignant cells found in the mesothelium, a thin sheet that covers and protects the vital organs of the body, such as the lungs.



mesothelioma cancer pictureCancerous cells are described as malignant neoplasms. They demonstrate uncontrolled cell growth that follows no physiologic demand. When an abnormal cell is transformed by the genetic mutation of the cellular DNA, cancerous cells are formed. The cells infiltrate the tissues that surround them and gain access to lymph and blood vessels, which carry the cells to other areas of the body.



Normally, cancerous cells that develop in the mesothelium and eventually lead to mesothelioma are caused by glass-like particles that stick in the lungs. These particles come from asbestos, the common element used in building infrastructures. Asbestos is very popular in the industrial and construction field because of its high resistance against fire.



People who are exposed to asbestos have been found out to be the common patients diagnosed with mesothelioma. This is because the particles from asbestos that stick within the lungs tend to create cancerous cells. The damage caused by the process develops a disease process that triggers the growth of cancerous cells, where cell membranes are altered.


Overview of Mesothelioma and Compensation



Statistics show that nearly 80% of people afflicted with mesothelioma were working in the industrial field and construction area. Although mesothelioma is not a single disease with a single cause, the greatest common factor in developing the disease is asbestos.



Hence, society deems it necessary for these industries or employers, in general, to be responsible in providing the right compensation to their employees.



Issues on mesothelioma and compensation focus more on the privileges endowed to employees who have been sick with mesothelioma after being exposed to asbestos at work. The underlying connection between mesothelioma and compensation is seen in the lawsuits filed against the employers. Generally, these legal actions are done to claim financial damages from the company, who is entirely accountable for the safety of their employees working environment and for the implementation of safety gear against such hazards as asbestos.



Compensation for mesothelioma cases usually covers medical bills and other expenses related to mesothelioma, such as loss for daily wages or inability to provide their family with the quality life due to their non-working status.



People who are generally entitled for mesothelioma compensation are those who worked in the building, custodial, construction, shipyard, and automotive industry.



More information about mesothelioma and compensation:



1. It must be a cancer

Not everyone who had been exposed to asbestos can immediately file for mesothelioma compensation. The number one factor to consider for such claims is the development of cancer. The gravity of asbestos exposure will determine the condition that states one's eligibility for mesothelioma compensation.



2. Find a good lawyer

Not all mesothelioma lawyers can help you in claiming your compensation. Moreover, most mesothelioma lawyers that render services for mesothelioma compensation charge high fees. Hence, not everybody can afford to hire a mesothelioma lawyer.

However, some lawyers are willing to provide a "no win, no pay" agreement. By the time they win the case, the lawyer shares a certain percentage on the compensation. Hence, it is best that you find a good lawyer for you to obtain the right claims for you.



3. State laws

Mesothelioma compensation may vary from one state to another. This means that the existing state laws regarding mesothelioma lawsuits will be applicable only within its jurisdiction. Hence, not all provisions stated in a certain mesothelioma compensation are applicable on the other mesothelioma cases in different states.
Indeed, mesothelioma compensation can be very helpful in answering financial problems caused by mesothelioma. Reports show that mesothelioma patients can claim as much as $3 million. So if you have been diagnosed with mesothelioma, file your mesothelioma compensation now.

Mesothelioma and Compensation -- Who is Responsible?

Compensation is the greatest factor that drives people; it is considered as the greatest motivator of all things. Yet, compensation instigates more than plain monetary satisfaction. Above all things, it can give back whatever was lost.



Such is the case with mesothelioma and compensation. People who have acquired mesothelioma deem it necessary to receive the proper compensation they deserve. Why? Simply because it is not their intention to get sick with mesothelioma.
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