Stomach Cancer treatment in Jaipur
Radical gastrectomy with D2 lymph node dissection, performed laparoscopically wherever suitable.
About stomach cancer
Stomach (gastric) cancer often causes vague symptoms such as indigestion, early fullness or loss of appetite, which is why many patients are diagnosed late. Chronic H. pylori infection, smoking, salted and smoked foods and family history are known risk factors.
Surgery with proper lymph node clearance (D2 gastrectomy) is the cornerstone of cure. Dr. Ledwani offers laparoscopic and open gastrectomy, planned alongside chemotherapy before and after surgery for locally advanced disease.
Symptoms to watch for
- Persistent indigestion, bloating or upper abdominal discomfort
- Feeling full after eating very little
- Loss of appetite and weight loss
- Nausea, vomiting, or vomiting blood
- Black, tarry stools and anaemia
Risk factors
- Helicobacter pylori infection
- Smoking and alcohol
- Diet high in salted, pickled or smoked foods
- Previous stomach surgery or chronic gastritis
- Family history and certain inherited syndromes
How it is diagnosed
- Upper GI endoscopy with biopsy
- Contrast-enhanced CT scan of the abdomen and chest
- PET-CT in selected patients
- Diagnostic laparoscopy to rule out hidden spread before major surgery
Treatment options
- Perioperative chemotherapy
Chemotherapy before and after surgery improves cure rates in locally advanced gastric cancer.
- Subtotal or total gastrectomy
Removal of part or all of the stomach along with the surrounding lymph nodes (D2 dissection), with reconstruction of the digestive tract.
- Laparoscopic gastrectomy
Keyhole approach for suitable tumours, giving less pain and quicker recovery.
- Endoscopic resection
Very early cancers confined to the inner lining may be removed endoscopically without major surgery.
- Nutritional rehabilitation
Dietitian-guided eating plan, vitamin B12 and iron supplementation after gastrectomy.
Why choose Dr. Ledwani for stomach cancer surgery
- 16+ years and 10,000+ cancer surgeries, with formal MCh training in surgical oncology
- Organ- and function-preserving techniques used wherever oncologically safe
- Laparoscopic and VATS approaches for faster recovery in suitable patients
- Multidisciplinary planning with medical and radiation oncology at BMCHRC, Jaipur
Frequently asked questions
Can a person live without a stomach?
Yes. After total gastrectomy the small intestine is joined to the food pipe. Patients eat smaller, frequent meals and lead normal lives with some supplements.
Is chemotherapy always needed?
Not for very early cancers. For most locally advanced cancers, chemotherapy before and after surgery is the standard of care.
What is D2 lymphadenectomy?
It is the systematic removal of the lymph nodes around the stomach and its main blood vessels. It is an essential part of curative gastric cancer surgery.
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