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What to consider when considering a prophylactic gastrectomy for HDGC

Updated: Apr 15

Zachariah H Foda - CGA-IGC Communications Committee

“A total gastrectomy changes an individual’s health and nutrition needs for the rest of their life so we need to ensure they have the knowledge tools and resources to lead a long healthy life.”- Rachael Lopez, MPH, RD, CSO, National Institutes of Health.

In this episode, hosted by Josie Baker, MS, CGC, a genetic counselor at The Ohio State University, discusses considerations for individuals and their providers prior to pursuing a prophylactic gastrectomy for risk reduction in Hereditary Diffuse Gastric Cancer (HDGC). CDR Lopez discusses the multi-disciplinary nature of care for individuals who would undergo a prophylactic gastrectomy.

This team includes specialists in surgery, gastroenterology, nutrition and mental health. Individuals benefit from pre-operative evaluation and longitudinal care after surgery. The episode covers the complex issues that individuals face, including weight change, dietary restriction and body image concerns.

This episode underlines the gravity of the decision that individuals make when pursuing a prophylactic surgery and will help individuals and providers have a discussion on the risks and benefits. It also makes it clear that the care of individuals with HDGC is a lifelong process, even after prophylactic surgery is pursued.

Listen to the podcast here


If you enjoyed this podcast, you may like other episodes in the CGA-IGC Podcast Series (Season 6), and the Journal Club podcast series (Seasons 3, 4 &5) presented by the CGA-IGC Education Committee.

Or explore our Expert Approach to Hereditary Gastrointestinal Cancers podcast series (Seasons 1 and 2).

Also, looking for other educational resources?

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