Stomach, Ulcer & Cancer Surgery

Stomach, Ulcer & Cancer Surgery

Most consultations at our Department of General Surgery begin with a simple complaint, burning in the upper abdomen, somewhere just below the centre of the chest. Some point with a finger to a 3–4 cm area and say the discomfort spreads upward after meals. Many assume it is just “gas.” At times, it is. But not always. What we broadly call acidity may be gastritis, where the stomach lining is inflamed. An ulcer goes a step further. Here, the lining develops an actual break, a sore that may be a few millimetres deep but capable of causing significant symptoms. These symptoms need further diagnosis and treatment.

There is rarely a single cause. In our hospital, we often see a combination. One common factor is H. pylori infection, which quietly damages the stomach lining over the years. Then there are painkillers, taken frequently for joint pains or headaches. These medications reduce the stomach’s natural protection. Lifestyle plays its part too. Irregular eating patterns, long gaps between meals, smoking, alcohol intake, and even high-stress routines all contribute.

Symptoms Patients Commonly Describe

  • A persistent burning sensation in the upper abdomen, usually felt just below the breastbone
  • Pain that may worsen on an empty stomach, especially early morning or late at night
  • Discomfort or heaviness soon after meals in some patients
  • Frequent indigestion, bloating, and a feeling of fullness even after small meals
  • Repeated belching or acidity that temporarily improves with antacids
  • Nausea, sometimes without actual vomiting

Warning signs that need immediate attention:

  • Vomiting with blood or material resembling coffee grounds
  • Black, sticky stools indicate possible internal bleeding
  • Unexplained loss of appetite over a few weeks
  • Gradual, unintentional weight loss
  • Increasing fatigue, sometimes linked to slow blood loss (anaemia)

Most gastric ulcers respond well to medical treatment with acid suppression (typically 4 to 8 weeks). Antibiotic therapy is added if H. pylori infection is detected. If still not healed, consult our team at UMC Hospitals for stomach ulcer treatment in Navi Mumbai.

Surgery may be required when:

  • Ongoing bleeding from the ulcer that cannot be controlled through endoscopy
  • Perforation of the stomach wall, often presenting with sudden, severe abdominal pain and a rigid abdomen
  • Gastric outlet obstruction due to long-standing ulcers, leading to persistent vomiting and inability to tolerate food
  • Recurrent ulcers not responding adequately to medical therapy

These situations are less common today but require timely surgical intervention to prevent serious complications.

Stomach cancer does not always announce itself early. That is what makes it concerning. In the early stages, symptoms may mimic simple gastritis, mild discomfort, and occasional nausea. By the time patients develop difficulty eating, persistent vomiting, or noticeable weight loss, the disease may already be advanced.

Risk factors are well recognized. Tobacco use, diets rich in smoked or heavily salted foods, chronic H. pylori infection, and family history all increase the likelihood. We also see patients who have ignored long-standing ulcer symptoms. Early detection changes everything. And yet, many hesitate to undergo evaluation.

The most important test is an upper GI endoscopy. A thin flexible camera is passed through the mouth into the stomach. It allows us to directly see the inner lining. If we notice an abnormal area, an irregular ulcer, a thickened fold, a biopsy is taken immediately. This is essential. A CT scan is then used to understand how far the disease has spread and to plan treatment.

Surgery for stomach conditions varies depending on the problem. In a gastric cancer surgery in Navi Mumbai at UMC Hospitals, part or all of the stomach may need to be removed. A partial gastrectomy involves removing the diseased portion, often along with nearby lymph nodes. In more extensive disease, a total gastrectomy is performed, and the food pipe is connected directly to the small intestine.

Whenever feasible, we use minimally invasive techniques. Laparoscopic surgery involves small incisions, typically less than a centimetre each. Recovery tends to be smoother, with reduced pain and shorter hospital stay. However, not every patient is a candidate for this approach. The decision is individualized, based on tumour stage, patient fitness, and anatomical considerations.

Recovery does not end at discharge. Most patients are encouraged to start walking within 24 hours after surgery. Activity gradually increases over the next few weeks. Fatigue is common but improves steadily. Follow-up is essential. For cancer patients, it includes regular imaging and clinical reviews. For others, it involves monitoring nutrition and symptom control. Lifestyle adjustments make a real difference.

Our team of highly experienced surgeons is committed to providing advanced and safe surgical care for stomach conditions, including stomach ulcers and cancer. Many conditions are treatable, often without surgery, when detected early. And when surgery is required, outcomes today are far better than most people expect. Sometimes, listening to your body at the right time makes all the difference. Consult specialists at UMC Hospitals for evaluation and stomach surgery in Navi Mumbai.