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Dafit Hartono

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often begins on the side where the inflamed stomach lining. But many experts believe that inflammation is the result of stomach cancer, not as a cause of cancer. Some experts argue, gastric ulcers can cause cancer. But most people with ulcers and gastric cancer, the possibility that cancer is not detected before neck formed. Helicobacter pylori, bacteria that play an important role in duodenal ulcer, could also play a role in the occurrence of gastric cancer.

Gastric polyp, a benign growth of the round, which grew into the cavity of the stomach, allegedly a sign of cancer and therefore always polyps removed. Cancer may occur in conjunction with certain types of polyps, the polyps larger than 1.8 cm or polyps of more than 1.

Certain food factors predicted a role in gastric cancer growth. These factors include: - High salt intake - High carbohydrate intake - Intake of preservatives (nitrates) high - Intake of green vegetables and fruit less.

But none of these factors that have proven causes kank

SYMPTOMS In early-stage gastric cancer, the symptoms are not obvious and often ignored. If symptoms develop, can help determine where the location of these gastric cancer. For example, feeling full or uncomfortable after eating may indicate a cancer in the lower stomach.

Weight loss or fatigue usually caused by eating difficulties or inability to absorb some vitamins and minerals.

Anemia can be caused by gradual bleeding that does not cause other symptoms. Sometimes patients may also experience a lot of vomiting blood (haematemesis) or remove blackish stools (melena).

When gastric cancer increases, there may be palpable mass in the abdominal wall.

In the early stages, the small gastric tumors can spread (metastasize) to distant places. The spread of the tumor can cause enlarged liver, jaundice (jaundice), fluid collection in the abdomen (ascites) and skin nodules are malignant. The spread of cancer can also cause bone loss, resulting in broken bones.

Early gastric cancer is a malignancy in the gastric mucosa is still localized in the submucosal without notice and are metastatic or not.

Terminology of early gastric cancer is the terminology patalogi anatomik after surgery.

Classification of gastric cancer

1. Early gastric cancer

2. Advanced gastric cancer

Classification of early gastric cancer originated from Japan in various forms.

1. Early gastric cancer type I

When cancer occurs at a mucosal protrusion, for example on the surface of polyps

1. Early gastric cancer type II

Abnormalities in flat mucosa. 1. Type II A = odd little cause 2. Type II B = flat surface 3. type II C = concave surface

2. Early gastric cancer type III

Chromatography of Endoscopy

The definition of chromatography as a diagnostic endoscopy is a technique through endoscopy with intestinal mucosa gives color to give / inject dye, for example blue for gastric metilen current and newly introduced is by a technique of coloring with a special light called NBI (Narrow Band Imaging).

Chromatography pigment

For the diagnosis of gastric cancer used metilen blue. Regional cancer take / smoke color, so that more blue than normal mucosa.

NBI

NBI (Narrow Band Imaging) is the technology of capillary blood vessels staining of gastrointestinal mucosa with lighting without the red light rays. With NBI visible blue veins. Be very clearly seen the picture (pattern) capillary and arteriole even venulae. Lighting techniques NBI with cancer losing the image regions of blood vessels, thus biopsy site becomes more focused.

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