gastrointestinal cancer surgeries

Different gastrointestinal cancer surgeries including the stomach, pancreas, small intestine,
and colon are performed by Dr. Alem Rajabi.

Services of Dr. Mehdi Alam Rajabi

Dr. Mehdi Alem Rajabi, Surgeon and Colorectal Fellowship in Iran University of Medical Sciences, active in Firozgar, Jam, Erfan, Niyayesh & Omid Hospitals

Various gastrectomy cancer surger

Surgery is the main treatment for stomach cancer. The aim is to remove the tumour and try to cure the cancer. The main types of stomach surgery are:

Endoscopic resection:Gastrointestinal endoscopic mucosal resection (EMR) is a procedure to remove precancerous, early-stage cancer or other abnormal tissues (lesions) from the digestive tract. This is performed with a long, narrow tube equipped with a light, video camera and other instruments. During EMR of the upper digestive tract, the tube (endoscope) is passed down your throat to reach an abnormality in your esophagus, stomach or upper part of the small intestine (duodenum).

Partial gastrectomy: Part of your stomach is removed. If the cancer is found in only a small part of your stomach, the entire cancer and that part of your stomach can be removed.

After the operation, your stomach will be much smaller but the valve between your oesophagus and stomach will still be there.

Total gastrectomy: The whole stomach is removed. For cancer that affects a large part of your stomach, your entire stomach and the lower part of your oesophagus and sometimes your spleen will be removed. Your oesophagus is then joined to your small intestine (bowel).

In some cases, lymph nodes found near your stomach are removed during the operation. This reduces the risk of the cancer coming back in the future. Other organs in the area of your stomach may be removed at the same time, like the lower part of your oesophagus (oesophagogastrectomy) or the upper part of your small bowel. This depends on how far the cancer has spread (the stage of the cancer).

Sometimes your surgeon finds out more about the size and location of the tumour during the surgery. This may mean that the planned operation isn’t the best option for you. You may need a different type of surgery or another treatment.

Lymph node removal: In either a subtotal or total gastrectomy, the nearby lymph nodes are removed. This is known as a lymph node dissection or lymphadenectomy, and it’s a very important part of the operation. Many doctors feel that the success of the surgery is directly related to how many lymph nodes the surgeon removes.