title: Advances in the management of gastric cancer.
abstract: Gastric cancer is a common malignancy in our country and patients continue to present at an advanced stage. Following confirmation of diagnosis, CT scan, endoscopic ultrasound and laparoscopy are the essential staging modalities. Radical gastrectomy remains the initial treatment of choice. Although controversy persists about the extent of lymph node dissection, there is a general consensus in performing D2 dissection but with preservation of pancreas and spleen. Patients who have high risk of relapse are treated with postoperative chemoradiotherapy. The regimen of preoperative chemotherapy followed by gastrectomy and postoperative chemotherapy has also become important in recent years. Both these chemotherapeutic options confer survival advantage and patients need to be appraised about various treatment strategies at the very outset.
authors.affiliation: Department of Surgery and MIS, Rabindranath Tagore International Institute of Cardiac Sciences, 124 Mukundapur, Kolkata, 700099 India.
authors.forename: Manas Kumar
authors.initials: MK
authors.lastname: Roy
authors.forename: Sagar
authors.initials: S
authors.lastname: Sadhu
authors.forename: Sanjay Kumar
authors.initials: SK
authors.lastname: Dubey
keywords: Adjuvant therapy; Gastric cancer; Surgery