Adenocarcinoma stomach. Reaching out!

Hello Doctor, I’m reaching out regarding a patient who was diagnosed with adenocarcinoma of the stomach, stage 3A. The patient underwent D-lap radical gastrectomy with D2 lymphadenectomy and Roux-en-Y reconstruction in May 2025, followed by 4 cycles of FLOT chemotherapy, with the last cycle completed in August. Over the past two weeks, the patient has been experiencing occasional abdominal pain and difficulty swallowing. An ultrasound of the abdomen and pelvis was done, which showed: Suspicious omental thickening in the epigastric region Small supra-umbilical hernia with bowel loops as content Stomal erosions I request your advice if any further treatments are needed as patient.has lost almost 5 kg in span of 2 weeks.( reduced 55 kgs to 49kg) Appreciate your time.in responding Thank you in.advance