Gastric Cancer With Bowel Obstruction And Ascites: What To Expect

When gastric cancer progresses to the point of causing bowel obstruction and ascites, it typically indicates advanced disease. The survival time can vary significantly from person to person, but generally ranges from several weeks to a few months. The exact prognosis depends on multiple factors including the patient's overall health, the extent of the cancer, and how well it responds to treatment.

Gastric cancer in its advanced stages can lead to distant metastases, such as to the liver, lungs, brain, and bones. Additionally, peritoneal metastasis may occur, which often results in malignant ascites — a buildup of fluid in the abdominal cavity. This fluid accumulation can be exacerbated by the patient's poor nutritional status, as hypoalbuminemia (low levels of albumin in the blood) may also contribute to ascites.

Intestinal obstruction is often caused by tumor invasion or adhesions in the abdominal cavity. This complication can significantly worsen the patient's condition and may lead to life-threatening situations if not addressed promptly. Symptoms may include severe abdominal pain, bloating, nausea, vomiting, and inability to pass stool or gas.

Timely medical intervention can improve quality of life and potentially extend survival. Treatment options may include palliative surgery, stent placement, chemotherapy, or paracentesis to drain excess fluid. Each case must be evaluated individually to determine the most appropriate care plan.

In conclusion, while the presence of ascites and bowel obstruction indicates a late stage of gastric cancer, the survival time varies depending on the patient's condition and response to treatment. Supportive care and symptom management play a crucial role in enhancing comfort and prolonging life expectancy.