Gastric Cancer Patients With Ascites In Advanced Stage: To Drain Or Not To Drain

In the advanced stages of gastric cancer, patients may develop ascites, which is the accumulation of fluid in the abdominal cavity. The decision to drain this fluid should be made based on the individual patient's condition and overall health status. Generally speaking, the procedure should only be considered when the benefits outweigh the risks. Below are key considerations:

When Not To Drain Ascites

In most cases, draining ascites is not recommended for patients with advanced gastric cancer. This is because the procedure does not treat the underlying cancer and the fluid typically reaccumulates quickly. Additionally, repeated drainage can lead to a decline in the patient's nutritional status and overall well-being.

When Drainage May Be Beneficial

However, if the ascites becomes so severe that it causes significant discomfort—such as bloating, pressure, or difficulty breathing—drainage may be considered. When large volumes of fluid accumulate, the diaphragm can be pushed upward, reducing lung capacity and leading to shortness of breath. In such cases, removing a limited amount of fluid can help relieve symptoms and improve comfort.

The Goal Is Symptom Relief

It's important to understand that the purpose of draining ascites is palliative, aimed at improving quality of life rather than curing the condition. Once symptoms are relieved, repeated drainage should be avoided unless absolutely necessary. Also, large volume paracentesis (removal of large amounts of fluid) should be done cautiously and under medical supervision.

Consult A Medical Professional

Patients with advanced gastric cancer and ascites should consult their healthcare provider for personalized guidance. A doctor can determine whether drainage is appropriate, how much fluid to remove, and how often the procedure can be safely repeated.

In conclusion, while draining ascites in advanced gastric cancer is not a curative measure, it can provide meaningful symptom relief in specific situations. Decisions should be made on a case-by-case basis with the help of a qualified medical team.