Next Body Keto

Next Body Keto If the preoperative examinations have indicated the presence of metastases, treatment with neoadjuvant chemotherapy (that is to say before surgery) is proposed in order to make them regress. Then, the operation is programmed. For localized cancers, surgery may be sufficient. But if the tumor is aggressive, if lymph nodes are affected or if there is metastasis, doctors recommend treatment with chemotherapy (5-fluoro-uracil, irinotecan, capecitabine, oxaliplatin, etc.) sometimes combined with immunotherapy comprising monoclonal antibodies, medicines that slow the growth of the tumor by preventing it from growing (bevacizumab, cetuximab, panitumumab).

Next Body Keto In the case of rectal cancer, the therapeutic strategy is not quite the same. "Radiation therapy combined with chemotherapy is proposed for a month, radiation therapy potentiating the effects of chemotherapy, says P r Bretagnol. Then we wait three months before going to surgery. For patients, this delay is often incomprehensible, but it is capital: the radiochemotherapy melts the tumor, it is therefore important to wait until it has given its maximum effect before operating. ”

Next Body Keto Once the affected part has been removed, the surgeon performs an anastomosis or plugging: he reconnects the part of the rectum that has been kept to the colon. When the scar is very close to the anus and the stool can no longer be evacuated by the natural means, a temporary ostomy is made: the intestine is connected directly to the skin of the abdomen, and the feces s' flow into a pocket attached to the stomach.

Next Body Keto Although the majority of these ostomies are now temporary, they remain traumatic for many patients. Stoma therapists, nurses specializing in helping patients with an ostomy, are present in some hospital departments.

5. What follow-up?

Next Body Keto After the operation, pathological examinations ensure that all the cancer has been removed. A sample of the lymphatic tissue around the tumor (lymph node dissection) checks for the presence of tumor cells in the lymph nodes. If this is the case, even if they were removed during the operation, adjuvant chemotherapy (two courses per month for six months) is offered.

Next Body Keto Patients are then monitored every three months for two years, every six months for three years, and then annually. Objective: to support patients in their daily life (diet, digestive concerns) but also to detect a possible recurrence.

Next Body Keto Nutrient deficiencies, overweight, excess sugar and fat ... No country in the world has reached the WHO objectives in the fight against malnutrition, which has become one of the leading risk factors for death.