Cancer Of Stomach

Dr. Vivek Mangla


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Cancer Of Stomach

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. Learn More »

Ulcers 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.

Non-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.