A STUDY TO ASSESS INSOMNIA, PSYCHOLOGICAL DISTRESS, AND COPING STRATEGIES AMONG POSTOPERATIVE GASTROINTESTINAL CANCER PATIENTS IN A SELECTED HOSPITAL, KOLKATA

Background: Gastrointestinal cancer refers to the malignant conditions of the gastrointestinal tract(GI tract), including the esophagus, stomach, biliary system, pancreas, small intestine, large intestine, rectum, and anus. When gastrointestinal cancer develops, function is crippled. S S T, Krishnan, S. K., et al; (2022), conducted a study on Descriptive Epidemiology of Gastrointestinal Cancers: Results from National Cancer Registry Programme, India. Gastrointestinal cancer occurrence was more common among men (60.5%) than in women (39.5%) in India. The incidence of Gastrointestinal cancer was highest in Indias northeast region, Aizawl district [AAR (age-adjusted incidence rates) 126.9] among males, and in Papumpare district (AAR 75.9) among females. The most common gastrointestinal cancer among men was esophagus cancer (28.2%), stomach cancer (21%), and rectal cancer(14.3%). Among women, esophagus cancer (25.7%), gallbladder cancer (23.8%), stomach cancer (14.8%), and rectum cancer (14.6%) were common. Adenocarcinoma (57.83%) was the most common type of Gastrointestinal tumor, then squamous cell neoplasms (25.99%). The majority of Gastrointestinal cancan were epresented at the locoregional stage, where gall bladder cancer and pancreatic cancer presented at advanced stages. The colon, rectum, liver, gall bladder, and pancreas gradually increased, while a declining trend was observed for stomach and oesophageal cancer.