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Stomach is an organ in between esophagus and duodenum and its function is to collect ingested food, partially digest it and to release it slowly into the duodenum for further digestion.

It secretes hydrochloric acid which helps in digestion of food.

There are many types of cancer which develops in stomach. The commonest of them is called adenocarcinoma and other less common types are lymphoma and gastrointestinal stromal tumors.

Risk factors-

Smoking, alcohol consumption, hot beverages, Helicobactor pylori infection, pickled foods, processed and red meat.

It is difficult to diagnose this cancer in early stages as usually it only causes very vague symptoms.

 

Presentation-

Persistent dyspepsia, acidity, regurgitation, vomitings, anorexia, weight loss, blood in vomitings

 

Treatment options-

Surgery-

The only chance of cure is with the surgical resection of the complete cancer bearing organ along with the surrounding lymphnodes. This is called as Radical D2 Gastrectomy.

Some times when the disease is diagnosed in advanced stages it is treated initially with chemotherapy with or without radiotherapy (Neoadjuvant treatment) followed by radical resection.

In few cases this cancer presents in stage IV with isolated peritoneal metastases. In this situation radical resection along with cytoreductive surgery with Hyperthermic Intraperitoneal Chemotherapy (CRS+ HIPEC Plus) gives the better overall survival.

For in operable cancer of the stomach palliative chemotherapy is the only possibility.