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Stomach cancers are again tumors that arise within the stomach or the first part of the gastrointestinal tract in the abdomen. These tumours can present sometimes with unusual signs, nausea, occasional vomiting, some amount of heart burn or burning an sometimes these symptoms in the early states can be non specific. It is important that patients in the later years of their life are evaluated thoroughly when they present with vague abdominal complaints the procedure of choice to diagnose stomach cancer is upper endoscopy that is done by a gastroenterologist team and that allows to look into the stomach and take a biopsy of any lesions that may be concerning weight loss and blood loss are also some characteristic features of stomach cancer and require evaluation. Once you are diagnosed with stomach cancer, again you go through a process of obtaining a CT scan which will tell us if the disease is limited to the stomach or has spread elsewhere. If the stomach cancer is extremely early, maybe in the first layer of the stomach, there are upcoming endoscopic modalities to remove just a portion of the stomach. However early gastric cancer, gastric referring to stomach will require some amount of resection. Occasionally we will do what is called as an EUS or look at the CT carefully to look if there are any lymph nodes involved in stomach cancer. If there are lymph nodes then there has been some literature to suggest that patients will benefit from a certain amount of chemotherapy before we plan surgery and we sandwich the surgery with chemotherapy on both ends before and after recovery. The surgical procedure for stomach cancer is standardised and we do systematic removal of the stomach cancer along with the removal of the stomach. Patients adapt well to have their stomach removed and require minimal changes in their lifestyle and eating habits.