+65 6592 0078

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Did you know GASTRIC CANCER can be treated with LAPAROSCOPIC & ROBOTIC surgery?

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Dr Jaideep Raj Rao has over 25 years of experience in performing stomach cancer surgery

ABOUT US

  • Experienced & internationally trained in Korea

  • Senior Consultant & Head of Upper Gastrointestinal Surgery at Tan Tock Seng Hospital for 10 years

  • Honorary international member of the Korean laparoscopic gastric cancer surgery society.

  • Various treatment options specialising in minimal access surgery and Robotic surgery

Call us at

+65 6592 0078

Or send us an enquiry below

 

TYPES OF GASTRIC CANCER SURGERY:

Almost all stomach cancer surgery is now performed using minimal access technique either laparoscopically or robot assisted.

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  • Subtotal gastrectomy: Removal of the part of the stomach that contains cancer, nearby lymph nodes and parts of other tissues and organs near the tumor. The spleen may be removed. The spleen is an organ that makes lymphocytes, stores red blood cells and lymphocytes, filters the blood and destroys old blood cells. The spleen is on the left side of the abdomen near the stomach.

  • Total gastrectomy: Removal of the entire stomach, nearby lymph nodes, and parts of the esophagus, small intestine and other tissues near the tumor. The spleen may be removed. The esophagus is connected to the small intestine so the patient can continue to eat and swallow.

  • Proximal gastrectomy: This is a newer procedure where only a small portion of the proximal stomach is removed. This has the advantage of preserving the function of the stomach and maintaining the nutrition with good functional outcome.

  • Pylorus preserving Gastrectomy: This procedure preserves the pylorus which is important for digestion and function of the stomach. It is usually performed for mid body tumours

Why is it important to have stomach surgery done in minimal access technique?

When surgery is done laparoscopically or Robotic assisted, the incisions are key-hole and hence there is minimal pain and the recovery is much faster. There is also significantly lower risk of post operative infection and other complications such as adhesions etc. Lastly, the surgeon can visualise things much better  and this enables the  surgeon to perform better and more precise dissection.

When should i take chemotherapy?

If the tumour is in an early stage , then there is no need to take chemotherapy and surgery is good enough to clear the cancer. if the tumour is in an advanced stage, then it is recommended to undergo chemotherapy. This can be taken after surgery (adjuvant chemotherapy) or a part of the chemotherapy can be given before surgery (Neoadjuvant chemotherapy) to shrink the tumour to perform better surgery and get better outcomes.

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Providing Customized & Tailor Treatment Options For Your Condition

Contact Us At +65 6592 0078 To Fix An Immediate Appointment Today!

Dr Jaideep Raj Rao - Senior Consultant Surgeon

ABOUT DR JAIDEEP RAJ RAO

Credentials

  • MBBS

  • MMed (Master of Medicine, National University of Singapore)

  • MRCS (Member of the Royal College of Surgeons, Edinburgh)

  • FRCS (Fellow of the Royal College of Surgeons, Edinburgh)

  • FAMS (Fellow of Academy of Medicine, Singapore)

Dr Jaideep Raj Rao is a senior consultant Surgeon at JR SURGERY in Mount Elizabeth Novena Hospital who specialises in Upper Gastrointestinal Surgery and Gastric, Oesophageal  and pancreatic cancer surgery. He was awarded the National Healthcare Human Manpower Development program fellowship by Ministry of Health in 2007 and trained in Seoul National University and Bundang hospital in Korea and specialises in Stomach preservation Surgeries using Minimal Access Techniques such as Laparoscopic and Robot Assisted. He is involved in multiple stomach cancer surgery research both in Korea and Singapore

Frequently asked questions

What are the Risk Factors for Stomach Cancer?


Age, diet, and stomach disease can affect the risk of developing gastric cancer

  • Having any of the following medical conditions:
    • Helicobacter pylori (pylori) infection of the stomach.
    • Chronicgastritis (inflammation of the stomach).
    • Pernicious anemia.
    • Intestinalmetaplasia (a condition in which the normal stomach lining is replaced with the cells that line the intestines).
    • Gastricpolyps.
    • Epstein-Barr virus.
    • Familial syndromes (including familial adenomatous polyposis).
  • Eating a diet high in salted, smoked foods and low in fruits and vegetables.
  • Eating foods that have not been prepared or stored properly.
  • Being older or male.
  • Smoking cigarettes.
  • Having a mother, father, sister or brother who has had stomach cancer.




What are the Tests / Diagnosis for Stomach Cancer?


  • Physical exam and health history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient’s health habits and past illnesses and treatments will also be taken.
  • Blood chemistry studies: A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by organs and tissues in the body. An unusual (higher or lower than normal) amount of a substance can be a sign of disease.
  • Complete blood count (CBC): A procedure in which a sample of blood is drawn and checked for the following:
    • The number of red blood cells, white blood cells, and platelets.
    • The amount of hemoglobin (the protein that carries oxygen) in the red blood cells.
    • The portion of the sample made up of red blood cells.
  • Gastroscopy: A procedure to look inside the esophagus, stomach, and duodenum (first part of the small intestine) to check for abnormal areas. An endoscope (a thin, lighted tube) is passed through the mouth and down the throat into the esophagus.
  • Barium swallow: A series of x-rays of the esophagus and stomach. The patient drinks a liquid that contains barium (a silver-white metallic compound). The liquid coats the esophagus and stomach, and x-rays are taken. This procedure is also called an upper GI series. Barium swallow for stomach cancer. The patient swallows barium liquid and it flows through the esophagus and into the stomach. X-rays are taken to look for abnormal areas.
  • CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerised tomography or computerised axial tomography.
  • Biopsy: The removal of cells or tissues so they can be viewed under a microscope to check for signs of cancer. A biopsy of the stomach is usually done during the endoscopy. The sample of tissue may also be checked for Helicobacter pylori (H. pylori) infection. The sample of tissue may be checked to measure how many HER2 genes there are and how much HER2 protein is being made. If there are more HER2 genes or higher levels of HER2 protein than normal, the cancer is called HER2 positive. HER2-positive gastric cancer may be treated with a monoclonal antibody that targets the HER2 protein.




What are the Different Types of Treatment for Patients with Gastric Cancer?


  • Endoscopic submucosal Dissection - a procedure that uses an endoscope to remove early-stage cancer and precancerous growths from the lining of the digestive tract without surgery
  • Surgery - Surgery is a common treatment of all stages of gastric cancer.
  • Chemotherapy - is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing
  • Radiation therapy - is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing.
  • Chemoradiation therapy - combines chemotherapy and radiation therapy to increase the effects of both. Chemoradiation given after surgery, to lower the risk that the cancer will come back
  • Targeted therapy - is a type of treatment that uses drugs or other substances to identify and attack specific cancer cells.
  • Immunotherapy - is a treatment that uses the patient’s immune system to fight cancer.





Arden Jr Surgery Clinic

Call: +65 6697 4950

WhatsApp: +65 9635 7103

Email: ardenjrs@gmail.com

Mount Elizabeth Novena Hospital, #08-32, 38 Irrawaddy Road, Singapore 329563