Gastric Adenocarcinoma
The main risk factor is atrophic gastritis (enabled by the presence of the Helicobacter py-lori bacterium).
The first symptoms are chest pains and nausea.
The following tests should be undergone in order to determine the extent of the disease :
– Esophagogastroduodenoscopy, performed by a gastroenterologist
– Thoracoabdominopelvic CT scan, performed in a radiology centre.
Partial gastrectomy under laparoscopy is often recommended when the tumour is located towards the lower part of the stomach, as it offers better functional results than a total gastrectomy. When the tumour is higher, total gastrectomy under laparoscopy is preferred. For locally advanced tumours, chemotherapy is recommended before and after surgery to minimize the risk of relapse.
