Treatment of Stomach Cancer: Know by Specialist

The treatment of stomach cancer is successful if diagnosed and treated at early stage. However more than 50% of stomach cancer when proceed for surgery are found to be metastatic. Most of the early stomach cancer symptoms or gastric cancer are non-specific and are overlooked. Chemotherapy is given by medical oncologist in advance cancer

Curative Surgical Treatment of Stomach Cancer

The standard curative treatment of stomach cancer is surgery if patient if fit for surgery and cancer is resectable. Patients factors which are responsible for good recovery in the post-op period include nutrition and ambulatory level. Patient nutrition and chest functions are good recovery is easy.
Staging laparoscopy is the first step in the surgery before definitive curative surgery is planned in case of open surgery. Staging laparoscopy helps in identification of metastases which are missed on CT Scan and PET Scan. No resection is done in case of metastatic disease unless tumor is bleeding. Radical gastrectomy is done. Depending on the location of tumor radical distal gastrectomy or radical sub-total gastrectomy or radical total gastrectomy is done. At least 12 lymph nodes should be dissected in the resected specimen for completeness of lymphadenectomy

Laproscopic Radical Gastrectomy

Radical gastrectomy can be done laparoscopically. Today we have enough evidence in the literature which support laparoscopic surgery in the abdominal malignancy. Laparoscopy surgery has the advantage of less pain and early recovery

Palliative Surgical Treatment of Stomach Cancer

If the stomach cancer is unresectable because either it is locally advance involving major blood vessels or it is metastatic then patient require some definitive therapy for palliation of there symptoms. If the tumor is bleeding and not controlled endoscopically or radiologically then palliative resection is done

Palliative Endoscopic Treatment of Stomach Cancer

If the stomach cancer is metastatic best method for palliation of symptoms is by means of endoscopy. The most common symptom that require palliation is vomitting, Endoscopically metallic stent is placed across the site of obstruction by Gastroenterologist

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