A study on management of gastric carcinoma cases at a tertiary care hospital
Author(s): Dr. AM Sreedhara
The diagnosis of carcinoma stomach is mainly based on upper gastrointestinal endoscopy with biopsy. It allows visualization of the tumour and provides tissue for pathologic examination. Other modality used is Computed Tomography (CT) scan, which plays an important role in evaluation of metastatic disease. Preparation of the patient was done by improving the general condition by supplementary foods like eggs, milk, and protein rich diet. Anaemia was corrected by oral/parental iron supplements and by blood transfusion. In case of gastric outlet obstruction, Stomach wash was carried out with normal saline to remove the undigested food materials one day prior to surgery.
Distal Gastrectomy with Billroth II reconstruction was the most commonly performed curative procedure. It accounted for 61.54% of the cases. Total Gastrectomy with Roux-En-Y reconstruction was performed in 13.46% of the patients. Palliative surgery was performed in 25% of the patients with gastro-jejenostomy being the common procedure.