Avinash Rinait1 , Yashwant R. Lamture2 , Pulavarty Prateek3 , Dilip Gode4
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Surgery for Gastric Adenocarcinoma with Hospital Stay: A Prospective Study Avinash Rinait1 , Yashwant R. Lamture2 , Pulavarty Prateek3 , Dilip Gode4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12570

Abstract

Background: With the new changing lifestyles and the control if infectious diseases, cancer is soon emergingto be one of the leading causes of deaths in developing countries like India. Surgical procedure showsimprovement in survival period for a patient at stage II and III after correcting the nutritional status of thepatients. There is a decline in post-operative complication with patients who underwent surgery. Hence thisstudy was undertaken to study the curative and palliative surgeries in the patients of gastric adenocarcinomaand their hospital stay.Methodology: This was a prospective study in which 50 of gastric adenocarcinoma patients who wereadmitted in the surgery department at Datta Meghe Medical College, Shalinitai Meghe Hospital and ResearchCentre, Nagpur in collaboration with Jawaharlal Nehru Medical College, Datta Meghe Institute of MedicalSciences, Sawangi Meghe, Wardha, Maharashtra were studied.Results: Majority of patients presented with Stage II (88%) while 12% presented with stage III. 82% patientsunderwent curative surgeries while 18% underwent palliative surgeries. The duration of hospital stays forGastric Adenocarcinoma surgery for Stage II ranges from 6-8 days (median 7 days) whereas for Stage IIIit is 7-8 days (median 7.5 day). A total of 50 patients who underwent surgery for histologically provengastric adenocarcinoma. Out of 50 patients a majority i.e. 88% presented in stage II while 12% presented instage III.Conclusion: On the basis of our observations we concluded that the patients presenting earlier in stage IIundergo curative surgeries most often and mean hospital stay post-surgery around a week.
A Prospective Study of Etiology and Clinical Presentation of Gastric Adenocarcinoma Avinash Rinait1 , Yashwant R. Lamture2 , Pulavarty Prateek3 , Dilip Gode4
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12577

Abstract

Background: Dietary factors, Smoking, Alcohol, H. Pylori all have been linked to gastric carcinoma andmost of them are modifiable which can reduce the risk of cancer hence this study was undertaken to studythe etiology of gastric adenocarcinoma and its clinical presentation.Methodology: This was a prospective study in which 50 patients of gastric adenocarcinoma admitted in thesurgery department at a tertiary hospital were studied.Results: Out of 50 patients studied, 36 were males and 14 were females. The risk factors like H. pyloribiopsy, heredity, salt and preserved food were found less in the cancer patients while alcohol was found to bemore in them. Smoking was present equally in both the groups. Vomiting (100%) and loss of weight (100%)were the most common presenting feature. 46% had a Karnofsky score more than 80.Conclusion: Alcohol is a risk factor for gastric adenocarcinoma and loss of weight and vomiting are commonclinical presentation.