A Study on Surgical Management of Carcinoma Stomach
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 6
Abstract
Introduction: Cancer is known as one of the major causes leading to many disorders, death, and disabilities worldwide. Among all organ cancers, gastrointestinal tract cancers present an interesting pattern in distribution worldwide. Aim: The aim was to study the surgical management of carcinoma stomach. Materials and Methods: The observational cross-sectional study in patients with carcinoma stomach. Clinical examination and other relevant investigation were done. Results: Total radical gastrectomy was performed for three cases of carcinoma stomach, two involving the body and one involving the fundus. Distal radical gastrectomy was performed for 11 patients with carcinoma of antrum. In 15 of our patients where antral growth become adherent to adjacent structures, only palliative partial gastrectomy was performed for these patients. About eight patients present with the irresectable growth of antrum causing gastric outlet obstruction, where only a palliative anterior gastrojejunostomy was done as a bypass procedure. Conclusion: Surgery, in the form of a complete surgical resection, remains the cornerstone of management of resectable gastric adenocarcinoma. There is high level of evidence to support the role for perioperative chemotherapy as well as adjuvant chemoradiotherapy to improve the overall and recurrence-free survival in these patients.
Authors and Affiliations
A Vasan, R Seenivasagan, Heber Anandan
Keywords
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