Gastric Adenocarcinoma

Risk Factors

  • 50
  • Smoking
  • ETOH abuse
  • H pylori
  • Men > women
  • Raised in East Asia/Japan, South America, Eastern Europe

Symptoms

  • Progressive feeling of fullness when eating ever smaller quantities of food→ early satiety
  • Weight loss, pain, upper GI bleeding

Physical Exam Findings

  • May have significant weight loss if advanced
  • Sometimes epigastric discomfort on palpation, rarely mass
  • May have black stools (if significant bleeding) and guaiac +