Expert Treatment for Gastric Adenocarcinoma by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He starts with the pain in the epigastric area, weight, appetite, and a history of being infected with H. pylori, gastritis, or a family history of gastric cancer.
Endoscopy and Biopsy
Direct visual observation of the stomach lining can be done using an upper endoscopy. Dr. Pothuri isolates specific samples of biopsy to verify the presence of adenocarcinoma cells.
Laboratory Tests
Blood work checks for anemia, liver function, nutritional status and may include tumor markers (CEA, CA 19-9). A non-invasive H. pylori breath or stool test is performed if needed.
Imaging Studies
- CT scan of the chest, abdomen and pelvis to assess tumor size, local invasion and distant spread.
- Endoscopic ultrasound (EUS) to evaluate tumor depth and nearby lymph nodes.
- PET scan in select cases to detect small metastases.
Advanced Testing (if needed)
Laparoscopy staging can be employed in inspection of the peritoneal cavity and taking of washings, so as to provide proper staging prior to the treatment plans.
Frequently Asked Questions
Does gastric adeno constitute stomach cancer?
Yes. Gastric adeno (adenocarcinoma) is a form of stomach cancer which originates in gland cells that line the stomach.
When should I see a doctor?
In case of persistent stomachache, unusual loss of weight, nausea, or blood in your stool, refer to a specialist.
Which are the treatment alternatives?
It can be treated through dietary interventions, foods, medications, endoscopic interventions, surgery (partial or total gastrectomy), and chemotherapy and radiation therapy.
How is progress monitored?
The care team will rely on follow-up endoscopies, imaging (CT, ultrasound), and frequent clinic visits to monitor the response to treatment.
Can I prevent it?
Yes. Eliminate H. pylori infections, consume a balanced diet that avoids salty or smoked foods, and abstain from tobacco and heavy alcohol use.
Does insurance cover care?
The diagnosis and treatment are included in most insurance plans. Your benefits will be verified by our team at GastroDoxs, who will guide you through the process.
Where is the office?
We are based at the center of Texas Medical Center Houston, which is also near major roads and other forms of transportation.