All are true about gastric Ca Except
The incidence of proximal gastric cancer is increasing. Carcinoma proximal stomach is not associated with H. pylori infection unlike cancers of body and distal stomach. Management of gastric carcinoma * Early growth in pylorus - Lower radical gastrectomy with the removal of tumour, proximal 5 cm clearance, nodal clearance, greater and lesser omentum, distal pancreas and spleen ( now not regularly removed; it is removed to clear splenic nodes - one of the node stations) and Billroth II anastomosis or Roux-en-Y anastomosis is done. Postoperatively adjuvant chemotherapy should be given - 5 fluorouracil, mitomycin, epirubicin, cisplatin, oxaliplatin, capecitabine. Ref: SRB&;s manual of surgery,3 rd ed, pg no 788
H-pylori association is present
D2 gastrectomy include total gatrectomy
Surgical non curatice lesion should not be resected
Pt under total gastrectomy should be given vit B 12
G.I.T