Patient: Gastric cancer was detected at the examination in July 2007, which was invasive type with low differentiation. At that time, radical surgery was performed and 2/3 of the stomach was removed, and he recovered well after the surgery. Starting this year, I had vomiting sensation after eating only a little bit, and had a gastroscopy, which was considered to be mainly an inflammation of the anastomosis, and there was no way to eliminate its effect completely. A week ago, I had an enhanced scan with 64-layer spiral CT and found that the anastomosis was thickened, and a biopsy of the anastomosis revealed cancer cells again in one of the three sampling sites. For such a recurrence, is it possible to operate again? If surgery is not possible, should chemotherapy and other treatments be given? I have been in poor health after surgery, only 84 pounds, and I am very afraid of surgery and chemotherapy, is there any other treatment other than surgery and chemotherapy? The diagnosis is recurrence of gastric cancer after surgery. Overall, the treatment effect is poor. Treatment principle: First of all, consider whether you can operate again and remove the tumor. The prerequisites for re-operation: 1. after examination, there is no metastasis of other organs, no implantation metastasis and no ascites; 2. after nutritional support, the nutritional status can be improved, that is, there is no tumor malignant condition; 3. the technical strength of the hospital is strong. Therefore, the recurrence rate of gastric cancer after surgery and re-excision rate is low, which is about 20%. Secondly, if it is judged that it cannot be resected, or it is confirmed by surgery that it cannot be resected, only conservative measures can be chosen. If the nutritional status is poor, nutritional support will be given first, and after the nutritional status is improved, chemotherapy and immunotherapy and other treatments can be chosen. For those with good nutritional status, chemotherapy and immunotherapy and other treatments can be chosen directly.