Total Gastrectomy Specimen
Nodal Clearance
Esophagojejunal Anastomosis
Post Operative X-ray with oral contrast
Discussion : Gastric Cancer is fourth common malignancy worldwide and remains the second cause of death of all malignancies worldwide. Gastric cancer results from a combination of environmental factors and accumulation of specific genetic alterations. The primary prevention includes healthy diet, anti-H. pylori therapies, chemoprevention, and screening for early detection. Dietary factors have an important impact on gastric carcinogenesis, especially in case of intestinal adenocarcinoma. Multidisciplinary approach for the planning of the GC treatment is mandatory. The multidisciplinary team (MDT) should include at least a surgeon, pathologist, gastroenterologist, medical and radiation oncologists.
Conclusion : Gastric Cancer is a malignant disease with a generally poor long-term prognosis. Most of the Gastric Cancers are sporadic subtypes that are strongly associated with environmental risk factors. Staging laparoscopy is a safe and effective staging modality in patients with gastric carcinoma. Surgery is the only potentially curative therapy for localized gastric cancer.
