• Gastrectomy
• MRC Gastric Infusional Chemotherapy (MAGIC) trial shows peri-operative CXT (epirubicin, cisplatin & flurouracil) confers benefit
  Link:www.nejm.org/doi/pdf/10.1056/NEJMoa055531
  
• Commonly causes cardiotoxicity & thrombocytopenia
• May require resection of the spleen or distal pancreas
• Pre-op
• May have had staging laparoscopy
• May be smokers with IHD, HT, resp disease, reflux or poor nutritional status
• May have had pre-op CXT
• Bloods
• FBC, U&E, LFT
• Echo, PFTs, CXR, ECG
• Intra-op
• RSI
• Epidural
• Invasive Monitoring
• Complications
• CV/resp complications
• TED
• Surgical complications
• Abscess
• Leaks
• Weight loss
• Dumping syndrome
• Bloating/steatorhoea
• Anaemia
• B12 supplementation required
• CEACCP
  Link:ceaccp.oxfordjournals.org/content/9/2/65.full.pdf