- Stomach cancers are quiet common in indian population. Patients with prolonged gastritis are at increased risk of stomach cancer. They present with loss of appetite, weight loss and early satiety.
- Patients with suspected stomach cancer should undergo endoscopy and biopsy. Biopsy is confirmatory and mandatory before starting any treatment.
- Staging is done by either CT scan or PET scan. Staging laproscopy to rule out peritoneal spread is done frequently as staging procedure
- As for most cancers multimodality treatment is the norm. Treatment usually starts with chemotherapy, this helps to reduce the chance of recurrence and increase survival of patients.
- Surgery is the most important part of treatment and is considered after 3 cycles of chemotherapy. Gastrectomy entails removing the affected part of stomach with adequate margins with lymph node dissection.
Laparoscopy and Robotic surgery
- Gastrectomy can be done by key hole method or by robotic surgery. This method ensures early recovery besides having many advantages like less blood loss etc.
- Patients continue chemotherapy after surgery and a total of 6 cycles is required. Patients are advised to be on regular follow up