What Tests Are Required After Gastric Cancer Surgery

After gastric cancer surgery, regular follow-up exams are essential to monitor recovery and detect any possible recurrence. For the first two years following surgery, patients are generally advised to undergo checkups every 2 to 3 months. These follow-up assessments typically include the following key components:

1. Blood Tests and Organ Function Monitoring

Routine blood tests, including a complete blood count (CBC) and assessments of liver and kidney function, are performed to evaluate the patient's general health and identify any potential complications.

2. Endoscopic Evaluation

A gastroscopy may be recommended, especially for patients who had pre-existing conditions such as gastric polyps. This allows doctors to visually inspect the stomach area and detect any abnormal changes early.

3. Imaging Scans for Metastasis Screening

A full abdominal CT scan combined with a chest CT is often conducted to examine the lymph nodes around the stomach and other abdominal organs. This helps detect any signs of cancer recurrence or metastasis.

4. Monitoring for Distant Metastases in Advanced Cases

For patients with advanced gastric cancer, additional tests may be required to check for distant metastases, such as in the brain or bones. Doctors may also analyze stool samples and ask about dietary habits and abdominal symptoms to assess overall digestive health.

5. Managing Nutritional Deficiencies After Total Gastrectomy

Patients who have undergone total gastrectomy are at higher risk for nutritional deficiencies, particularly iron-deficiency anemia and folate deficiency. Since the stomach plays a key role in the absorption of these nutrients, regular monitoring for microcytic anemia is crucial. Patients are often advised to take iron and folic acid supplements to maintain optimal health.

Regular follow-up care after gastric cancer surgery not only helps detect any recurrence early but also supports long-term recovery and quality of life. Always follow your doctor's recommendations for testing and supplementation to ensure the best possible outcome.