Vol. 8, Issue 3, Part A (2024)

Abstract: In the absence of any statistical data, it is not possible to comment on the prevalence of carcinoma of stomach in Bangladesh but from clinical experience it seems to be increasing now a day. It may be due to better diagnostic facilities available and increased medical consciousness. In this retrospective study 50 cases (randomly selected) of carcinoma of stomach patients were admitted in surgical units of BSMMU and DMCH during the period from March 05 to February 2007. They were admitted from outpatient department for surgical treatment. So these cases were selective in nature. Out of the 50 cases, 39 cases were from BSMMU and 11 cases were from DMCH. All the patients who were included in this study were ultimately proved as carcinoma of stomach. Out of 50 cases of carcinoma of stomach in this series 9 cases (18%) were found in age group of below 40 years, 25 cases (50%) was found between 40-60 years and 16 cases (32%) beyond 60 years. Incidence of gastric carcinoma predominates in male. In this series of 50 cases shows male to female ratio 1.78:1. Incidence of gastric carcinoma predominates in male. In this series of 50 cases shows male to female ratio 1.78:1. Dietary factors probably have a role in the pathogenesis of gastric carcinoma. A number of authors recommended that highest incidence of gastric carcinoma in Japan is due to the habit of eating rice that rice eaters have to overload the stomach in order to get sufficient calories. In this study of 50 cases the physical finding of carcinoma of stomach were more or less established. Ultrasonography of whole abdomen was done preoperatively in all patients. Clinical staging was done applying TNM classification of stomach neoplasm. In this series wound dehiscence occurred in 1 case and died on 12th post-operative day. Pulmonary complication occurred in 2 cases and 1 patient died and another patient recovered. In this series 2 patients (4%) died in hospital, one due to wound dehiscence and another due to pulmonary infection. Among those 2 patients palliative surgery was done in 1 patient and curative surgery was done in 1 patient. Out of 48 patients only 19 patients replied and the remaining 29 patients did not respond. Among the patients who have undergone laparotomy but were inoperable and biopsy were taken only (total no. of patient 4) all died within 3 months of surgery. Gastric cancer is one of the most common causes of cancer death in the world. The exact incidence of carcinoma of stomach is not known in Bangladesh but it seems that the incidence is not low. The most important factor is almost all the cases in Bangladesh present at an advanced stage of the disease when curative resection cannot be done and ultimately the result of surgical treatment become unsatisfactory. But if these patients could be diagnosed and admitted for treatment at early stage of their disease, the outcome of surgical treatment would be far better.