Cancer Keys: Salty Foods and Stomach Cancer Risk

Cancer Keys: Salty Foods and Stomach Cancer Risk

Latest articles:Eating too many foods that are high in salt such as salted meat, brined fish and pickled vegetables can increase the risk of stomach cancer. Higher rates of stomach cancer are found in countries like Japan and Korea, than in the UK, where these foods...

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Cancer Keys: RUQ Pain in Pancreatic Cancer

Cancer Keys: RUQ Pain in Pancreatic Cancer

Latest articles: Pancreatic cancer diagnoses can be missed due to the non-site specific nature of some early symptoms. However, according to CRUK, up to 70% of patients with pancreatic cancer initially visit the doctor with upper abdominal or back pain. Potential...

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Cancer Keys: PPIs masking red flag symptoms for stomach cancer

Proton Pump Inhibitors (PPIs) are widely used to treat acid reflux and dyspepsia. NICE cautions that PPIs can mask or alter symptoms of stomach cancer, leading to later diagnoses.

Potential Pitfall

Patients on PPIs who have developed stomach cancer may increase their doses to manage further acid reflux and dyspepsia, further masking red flag symptoms. However, symptoms may become resistant or alter in character – perhaps manifesting as pain rather than burning, for instance.

Helpful hint

NICE NG12 guidelines advise to consider non‑urgent direct access upper gastrointestinal endoscopy to assess for stomach cancer in people aged 55 or over with treatment‑resistant dyspepsia.

Offer urgent direct access upper gastrointestinal endoscopy (to be performed within 2 weeks) to assess for stomach cancer in people with dysphagia, or aged 55 and over with weight loss and any of the following: upper abdominal pain, reflux, dyspepsia.

 

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