Your SlideShare is downloading. ×
Gastric Carcinoma
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

Gastric Carcinoma

1,044
views

Published on

Published in: Education, Health & Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,044
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
66
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. GASTRIC CARCINOMA. UNIVERSIDAD DE GUADALAJARACENTRO UNIVERSITARIO DE CIENCIAS DE LA SALUD Surgical Clinics. Dr. Benjamín Robles Mariscal Profesor Dr. Hector Virgen Ayala Luis Gerardo Caballero Romero. EPG MCPA
  • 2. • Helicobacter pylori 3.6 a 18 fold risk of developing carcinoma. Proportional Risk serum antibodies to the bacteria.
  • 3. GASTRIC CARCINOMA• Ulcerative Carcinoma 25%• Polypoid carcinomas 25%• Surface diffusion Carcinoma 15%• Plastic linitis 10%• Advanced Carcinoma 35%
  • 4. Ulcerative Carcinoma Advanced Carcinoma Polypoid carcinomas Plastic linits
  • 5. CLINICAL MANIFESTATIONS• Postprandial heaviness. (pain)• Anorexia• Weight loss up to 6 kgs• Vomiting in coffee grounds.
  • 6. PHYSICAL EXAMINATION• Epigastric mass 25%• Hepatomegaly 10%• FOBT 50%• Abnormal manifestations of tumor dissemination. (Virchow node).• Blumer shelf sign (rectal exam)
  • 7. DISEMINATIONS• Ovaries (Krukenberg tumor) liver lung brain bones
  • 8. LABORATORY AND IMAGING STUDIES.• 40% have anemia.• 65% High concentrations of CEA.• Gastroscopy• Gastric biopsy - minimum 6
  • 9. TREATMENT• Surgical resection (only treatment). 85% of operable patients. 50% lesions can be removed.• Gastrectomy and splenectomy• Esophagogastrectomy.• Palliative therapy.• An adjunct chemotherapy.
  • 10. FORECAST• Five year survival rate depending on the degree. 70% Stage I 30% Stage II 10% Stage III 0% Stage IV
  • 11. GASTRIC POLYPS
  • 12. HISTOLOGICAL CLASSIFICATION• Hyperplastic 80%• Adenomatous 30%• Inflammatory Total gastrectomy in multiple polyposis cases.
  • 13. GASTRIC LYMPHOMA AND PSEUDOLYMPHOMA• The 2nd most common cancer of the stomach.• non-Hodgkin• MALT• Low and high grade.
  • 14. SYMPTOMS• Epigastric pain and weight loss• Palpable epigastric mass 50%
  • 15. TREATMENT• Low-grade lymphoma chemotherapy with cyclophosphamide• high Grade Surgical Resection with total abdominal radiation.
  • 16. MENETRIER DISEASE• Hypertrophic gastritis.• TGF - α• Evolution to atrophic gastritis
  • 17. MANIFESTATIONS• Edema• Diarrhea• Anorexia• Weight Loss• exanthema
  • 18. TREATMENT• Lost control of protein• Eradicating H. pylori• H2 blockers• omeprazole• In children is benign and only refers
  • 19. PROLAPSE OF THE GASTRIC MUCOSA• Rare lesion.• Prepyloric ulcers accompanied• Vomiting• pain.
  • 20. TREATMENT• reserved• Billroth I anastomosis Antrecotmia
  • 21. GASTRIC VOLVULUS
  • 22. ACUTE• severe pain• Borchardt triad
  • 23. TREATMENT
  • 24. BEZOARS• Concretions within the stomach.• Trichobezoars• Phytobezoars• Candida albicans• Postsurgical state by reduction of acid and pepsin secretion
  • 25. TREATMENT• Defragmentation and dispersal by endoscopy .
  • 26. THANKS!!!