My brother is diagnosed with stomach cancer at the juncture between the oesophagus and the stomach. A full gastrectomy is suggested. The cancer is early stage. Due to other complications he can't have chemo or radiotherapy. He also has type 2 diabetes. The operation is deemed high risk.
My queries are:
1. Surely proximal (partial) removal would be better than full removal even if a further procedure was needed down the line
2. Is the stress of the op on body and mind more likely to produce recurrence elsewhere?(especially his weakened liver).
3. Given the early cancer stage, is a healthy lifestyle approach more likely to produce a better outcome than surgery?
A few of our current dilemmas...any comments welcome.