Stomach Cancer

At the centre of treatment are surgical resection (subtotal or total gastrectomy) and extensive lymph node dissection. In locally advanced cases, perioperative chemotherapy markedly increases survival.

• Those with complaints of unexplained dyspepsia, early satiety, nausea and weight loss
• Those in whom a suspicious lesion or a positive biopsy is detected at endoscopy
• Those who are H. pylori positive and show an increased risk during follow-up for chronic gastritis
• Those with a family history and carriers of a genetic syndrome (CDH1)
• Patients with iron deficiency anaemia who require upper GI screening

1. 1

   Pre-Assessment & Diagnosis

   The diagnosis is confirmed and the stage of the disease clarified through a detailed history, physical examination and the necessary imaging and laboratory tests.

2. 2

   Planning & Preparation

   An anaesthesia consultation, bleeding profile and review of any accompanying conditions are carried out; a multidisciplinary council decision is taken when needed.

3. 3

   Procedure / Operation

   The procedure is performed with the technique most suitable for the patient (laparoscopic, robotic or open); tissue integrity and oncological principles are preserved.

4. 4

   Follow-up & Monitoring

   Early mobilization, pain control and wound monitoring are provided; suture removal and a general assessment check-up are planned after discharge.

After a total gastrectomy, eating is gradually relearned; small portions and frequent meals are essential.