Mesenchymal tumors of the mediastinum: analysis of the clinical case

Abstract

Despite the progress in diagnosis and complex treatment, the prognosis for stomach cancer remains unsatisfactory, which is explained by the frequent germination of the tumor of the entire thickness of the stomach wall with the transition to neighboring organs, as well as the presence of distant metastases. Stomach cancer with a transition to the esophagus deserves special attention, which is not allocated to a separate nosological unit, but, due to the peculiarities of the clinical course and surgical treatment, deserves to be allocated to a special group. Adequate nutrition in the perioperative period is an integral part of the management of patients undergoing surgery for malignant neoplasms of the stomach. Nutritional support for patients with stomach cancer, along with dietary recommendations, includes the appointment of additional oral, enteral and parenteral nutrition. A clinical case of the disease was considered, an effective and radical surgical treatment method was demonstrated, and perioperative nutritional support was applied, which made it possible to achieve earlier restoration of peristalsis, as well as improve the immediate results of surgical treatment by eliminating protein-energy deficiency, normalizing the metabolism of intestinal structures, preventing bacterial translocation, dystrophic and atrophic changes in the intestinal mucosa.