Expert Treatment for Gastric Adenocarcinoma by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He begins by discussing your epigastric pain, weight changes, appetite, and any history of H. pylori infection, gastritis or family history of stomach cancer.
Endoscopy and Biopsy
An upper endoscopy allows direct visualization of the stomach lining. Dr. Pothuri takes targeted biopsy samples to confirm 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)
Staging laparoscopy may be used to inspect the peritoneal cavity and obtain washings, ensuring accurate staging before treatment planning.
Frequently Asked Questions
Is gastric adeno the same as stomach cancer?
Yes. Gastric adeno (adenocarcinoma) is a type of stomach cancer that starts in gland cells lining the stomach.
When should I see a doctor?
If you experience ongoing stomach pain, unexplained weight loss, nausea, or notice blood in your stool, see a specialist promptly.
What are the treatment options?
Treatment may include dietary changes, medications, endoscopic procedures, surgery (partial or total gastrectomy), and/or chemotherapy and radiation.
How is progress monitored?
Your care team will use follow-up endoscopies, imaging studies (CT, ultrasound), and regular clinic visits to track response to treatment.
Can I prevent it?
Yes. Eradicate H. pylori infections, eat a balanced diet low in salty or smoked foods, and avoid tobacco and excessive alcohol.
Does insurance cover care?
Most insurance plans cover diagnosis and treatment. Our team at GastroDoxs will verify your benefits and guide you through the process.
Where is the office?
We are located in the Texas Medical Center area of Houston, conveniently close to major roads and public transportation.