Cancer Of Stomach
Cancer of the stomach, also known as gastric cancer, begins in the cells lining the stomach and can spread to other parts of the digestive system and beyond. The exact cause of stomach cancer is not fully understood, but risk factors include chronic infection with Helicobacter pylori bacteria, long-term stomach inflammation, smoking, a diet high in salted or smoked foods, and genetic predisposition. Early stages of stomach cancer may be asymptomatic or present with vague symptoms such as indigestion, nausea, loss of appetite, and abdominal discomfort. As the disease progresses, symptoms can include more pronounced abdominal pain, weight loss, difficulty swallowing, and bleeding, which may manifest as blood in the stool or vomit.
Diagnosis of stomach cancer typically involves a combination of imaging studies like endoscopy, CT scans, or PET scans, along with biopsy procedures to obtain tissue samples for examination. Treatment options depend on the cancer’s stage and may include surgery to remove part or all of the stomach (gastrectomy), chemotherapy, radiation therapy, and targeted therapies. Early detection is crucial for improving prognosis, and treatment plans are tailored to each patient's specific condition to maximize effectiveness and quality of life. Regular monitoring and follow-up care are essential for managing recovery and addressing any complications that may arise.
Stomach cancer or gastric cancer
Stomach cancer, also called gastric cancer, begins in the mucus-producing cells that line the stomach. It can then spread to other layers of stomach wall, regional lymph nodes and other parts of body, most commonly the liver or the other organs in abdomen. It can affect any part of the stomach. Commonly it originates in the body of stomach or at the junction of esophagus and stomach. Signs and symptoms of stomach cancer may include difficulty swallowing, bloating after food, excessive heartburn or unintentional weight loss. Smoking, obesity and long standing inflammation (gastritis) are associated with gastric cancer. Treatment options for stomach cancer depend on the cancer's location, stage and aggressiveness. Since surgery remains the single most important aspect of treatment of gastric cancer patient, we ensure high standards. A good D2 Gastrectomy (radical gastrectomy, total gastrectomy)) i.e. removal of stomach and surrounding lymph nodes carrying the disease lays the foundation for effective treatment of this disease.Sometimes subtotal gastrectomy may be an option if the stomach cancer is located in the part of the stomach nearest the small intestine. It can be done by laparoscopic route. With laparoscopic approach, better and quicker recovery of patient and excellent tumor removal is ensured in experienced hands.
Read moreUlcers in the stomach
Peptic ulcers are sores that develop on the inside lining of your stomach (gastric ulcers) and the upper portion of your small intestine (duodenal ulcers). Ulcers occur when stomach acid damages the lining of the digestive tract. Common causes include bacteria Helicobacter Pylori and anti-inflammatory pain relievers including aspirin. Upper abdominal pain is a common symptom. A simple test and medical treatment for H Pylori can save most patients from complication of ulcer in the stomach & duodenum. Sometimes these ulcers start bleeding (upper GI bleeding) or result in a hole through (perforation) the wall of the stomach or duodenum leading to infection in the whole abdomen (peritonitis). Perforation peritonitis requires urgent surgical intervention and can often be accomplished successfully by laparoscopic means. Usually endoscopy and blood transfusions are sufficient for stopping bleeding resulting from peptic ulcer disease. However large and refractory ulcers necessitate emergency surgery.
Read moreNon-cancerous tumors of stomach (GIST)
Gastrointestinal stromal tumor is a disease in which abnormal cells form in the tissues of the gastrointestinal tract. Some gastrointestinal stromal tumors (GISTs) grow slowly over time and may never cause a problem for a patient, while others can grow and spread very quickly. They are most common in the stomach and small intestine but may be found anywhere in or near the GI tract. Signs of gastrointestinal stromal tumors include blood in the stool or vomit. Surgery is usually the main treatment for gastrointestinal stromal tumors (GISTs) that haven’t spread. The goal of the surgery is to remove the entire tumour completely. This can safely be done by keyhole surgery or laparoscopic surgery for removal of GIST. Targeted therapy drugs are usually the first option for metastatic GISTs.
Read moreFAQ's
The stomach plays a crucial role in digestion and nutrient absorption, but conditions such as stomach cancer can significantly disrupt its function. Dr. Srinivas Bojanapu, a leading GI & HPB Onco surgeon, provides expert insights into the causes, symptoms, diagnosis, and treatment options for stomach cancer, ensuring comprehensive care and improved outcomes for patients.
Risk factors include chronic infection with Helicobacter pylori bacteria, a diet high in salted, smoked, or pickled foods, smoking, excessive alcohol consumption, family history of stomach cancer, and certain genetic conditions such as Lynch syndrome.
Symptoms may include persistent abdominal pain, nausea, vomiting, difficulty swallowing, loss of appetite, unexplained weight loss, bloating, and dark or bloody stools. In the early stages, symptoms can be mild or absent, making early detection challenging.
Diagnosis typically involves imaging studies such as endoscopy, which allows direct visualization and biopsy of suspicious areas. Additional tests may include CT scans, PET scans, and blood tests to assess the extent of the disease and check for spread to other areas.
Treatment depends on the cancer's stage and may include surgery to remove part or all of the stomach, chemotherapy, radiation therapy, and targeted therapies. The treatment plan is tailored to each patient’s specific condition and may involve a combination of these approaches.
While complete prevention is not always possible, reducing risk factors such as avoiding smoking, limiting alcohol intake, and eating a healthy diet may help. Regular screening and surveillance, especially for those with a family history or high-risk conditions, can aid in early detection and improve outcomes.