THE CLINICAL PRESENTATION AND SURGICAL MANAGEMENT OF PATIENTS WITH CARCINOMA STOMACH

Abstract

Carcinoma stomach is a condition that occurs due to various causes. In order to diagnose a case of carcinoma stomach, a high index of suspicion is required. A detailed history and a thorough clinical examination must be done. Patients may have various complaints such as vomiting, abdominal pain and anemia. Diet has also been shown to play a role in the occurrence of carcinoma stomach. The patient’s socio-economic status also plays a very important role in the incidence of carcinoma stomach. Various investigations are available today in order to diagnose a case of carcinoma stomach. Investigations such as upper GI endoscopy are very useful to visualize a growth in the stomach and to take tissue for biopsy. A contrast enhanced CT (CECT) scan of the abdomen is also very useful to diagnose the stomach neoplasia as well as to find out if any metastatic lesions are present. On histopathology, adenocarcinoma is the most common type of carcinoma that may be found. Other tumors such as GI stromal tumors and lymphomas may also be found. Treatment of carcinoma involves surgery as well as chemotherapy. Our study was carried out from March 2015 to February 2019. The study was carried out at SRM Medical College Hospital and Research Center, Kattankulathur, Tamil Nadu, India. The total number of patients studied was 75. The results obtained were tabulated and compared with other studies.

Keywords

• carcinoma stomach
• endoscopy
• helicobacter pylori
• adenocarcinoma