International Journal of Clinical Case Reports 2024, Vol.14, No.4, 221-229 http://medscipublisher.com/index.php/ijccr 225 tests and an increase in the use of diagnostic laparoscopy, demonstrating how streamlined care pathways can enhance both the speed and quality of treatment (Ju et al., 2020). 6 Postoperative Care and Long-Term Management 6.1 Best practices for postoperative recovery and rehabilitation Postoperative care in gastric cancer surgery is crucial for optimizing recovery and minimizing complications. Best practices include early mobilization, respiratory therapy, and pain management to prevent common postoperative issues such as pneumonia and deep vein thrombosis. Nutritional support is also vital, as patients often face challenges with digestion and malnutrition after gastrectomy. Minimally invasive techniques, such as laparoscopic surgeries, often result in faster recovery and fewer complications, especially for elderly patients who are at higher risk for postoperative issues (Kawaguchi et al., 2021). Rehabilitation programs, including physical therapy and dietary counseling, should be initiated early to aid in faster recovery and better quality of life post-surgery (Figure 2) (Hashimoto et al., 2019). Figure 2 Search and selection process for observational studies evaluating the effects of POCs on long-term outcomes in patients with gastric cancer (Adopted from Li et al., 2019). 6.2 Monitoring for recurrence and managing complications Surveillance for cancer recurrence is a key aspect of long-term management after gastric cancer resection. Regular follow-ups with imaging (CT scans, endoscopy) and tumor marker assessments (e.g., CEA, CA 19-9) are recommended. Postoperative complications, such as anastomotic leaks, strictures, and malabsorption, require prompt management to avoid long-term morbidity. Studies indicate that postoperative infections and complications can negatively impact overall survival, highlighting the importance of closely monitoring patients for early signs of complications (Figure 3) (Li et al., 2019). 6.3 Nutritional support and quality of life after gastric surgery Nutritional management is a critical component of long-term care after gastrectomy. Patients often experience weight loss, malnutrition, and deficiencies in vitamins such as B12, iron, and calcium due to reduced gastric capacity and altered absorption. Proper nutritional support, including high-calorie diets and supplements, is
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