1. What are causes of stomach cancer?
Causes of stomach cancers are
- Alcohol consumption
- Smoking
- Diet high in salt and processed meat and low in vegetables
- Any previous stomach surgery
- Conditions decreasing acid secretion in stomach
- H.Pylori infection
- Hereditary conditions like multiple polyps throughout GIT
2. What are the symptoms of stomach cancer?
- Early satiety
- Anemia
- Recurrent Vomiting or blood in vomiting
- Loss of appetite
- Abdominal distension
- Passing black-colored stools
- Unexplained weight loss
3. Does cancer of stomach run in families?
Yes cancer of stomach can run in families especially in patient having multiple polyps
throughout gastrointestinal tract e.g, FAP, Lynch syndrome etc. first degree relatives of
these patient should undergo prophylactic screening endoscopy at young age.
4. How is stomach cancer diagnosed?
Stomach cancer is usually diagnosed by Imaging or endoscopy and biopsy. To establish
diagnosis endoscopy and biopsy is done. For staging purpose following investigations are
advised –
- CECT Scan of abdomen
- PET Scan of whole body
- Endoscopic ultrasound
5. What is treatment of stomach cancer?
Treatment of stomach cancer depends upon stage of cancer and presentation of patient. In
case of patient who is unable to eat, surgery would be mainstay of treatment. While in patients with locally advanced disease chemoradiation followed by surgery is the treatment of choice. Surgery remain mainstay of treatment for stomach cancer.
6. What type of surgery is best for patient?
With advancement in technology and staplers stomach cancer is managed these days with
laparoscopy. Laparoscopy has been used widely for total or partial removal of stomach and
has been found to provide equal results with improved quality of life and early recovery in
these patients.
Robotic surgery is further advancement in surgical armamentarium that increases accuracy
of dissection thus improving results.