Gastric Cancer

The pain is usually vague, though sometimes mimics an ulcer.
  • Early satiety and weight loss are key clues
  • Prognosis poor (prognosis invariably poor anyway).
High-Risk:
  • Positive Family History Gastric CA
  • Immigrant from high-prevalence country (Japan, Chile, Venezuela)

Patients who require ongoing PPI therapy for “dyspepsia” warrant endoscopy to R/O Gastric CA.

  • Not pts. w/ GERD.
  • Not pts. taking H2-Blockers (famotidine, etc)