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Gastric Lymphoma

Facing uncommon stomach cancer? At GastroDoxs in Houston, Dr. Rishi Chadha, a GI oncology expert, provides compassionate, personalized care for gastric lymphoma. With comprehensive diagnostics, advanced treatments, supportive lifestyle guidance, we're dedicated to improving your outcomes and quality of life.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Common Causes and Risk Factors

  • Long-term Helicobacter pylori (H. pylori) infection
  • Immune system disorders (for example, celiac disease)
  • Medications that suppress the immune response
  • Family history of lymphoma
  • Age over 60

Signs and Symptoms

  • Ongoing stomach pain or a sense of pressure
  • Unintended weight loss
  • Nausea or vomiting
  • Feeling full quickly when eating
  • Loss of appetite
  • Black or bloody stools (a sign of gastrointestinal bleeding)

How Dr. Rishi Chadha Diagnoses Gastric Lymphoma

1. Medical History & Physical Exam

Dr. Chadha begins by reviewing your personal and family history, prior H. pylori infections, immune disorders, medication use and symptoms such as stomach pain, nausea or weight loss. A focused abdominal exam checks for tenderness or masses.

2. Blood Tests

Routine labs include a complete blood count (CBC) to look for anemia, lactate dehydrogenase (LDH) levels and specific markers tied to lymphoma (ICD-10 C83.1). These help assess overall health and rule out other causes.

3. Upper Endoscopy with Biopsy

An endoscope is used to visualize the stomach lining. Suspicious areas are biopsied and sent to pathology to confirm lymphoma cells, determine subtype and guide treatment.

4. Imaging Studies

  • CT Scan - Evaluates tumor size and checks for spread to nearby lymph nodes.
  • PET/CT Scan - Detects active cancer cells throughout the body for accurate staging.

5. Staging & Additional Tests

Based on initial findings, Dr. Chadha may order a bone marrow biopsy or endoscopic ultrasound to determine the extent of disease and finalize a personalized treatment plan.

Dr. Rishi Chadha
Treatment

Our Houston team offers a full range of care for gastric lymphoma.

1. Treatment Options

  • Antibiotic therapy to eradicate long-term H. pylori infection
  • Chemotherapy regimens tailored to target lymphoma cells
  • Immunotherapy or targeted therapy to boost your body's cancer-fighting response

2. Medications

  • Antibiotics for H. pylori eradication
  • Standard and novel chemotherapeutic agents
  • Targeted biologic or immunotherapeutic drugs

3. Advanced Procedures

  • Endoscopic removal of small or early tumors
  • Laparoscopic (keyhole) surgery for precise tumor resection
  • Image-guided radiation therapy to minimize side effects
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What causes gastric lymphoma?

Long-term H. pylori infection, immune disorders (e.g., celiac disease), immunosuppressive medications, family history of lymphoma, and age over 60 can all increase risk.

How is it different from adenocarcinoma?

Gastric lymphoma begins in the lymphoid (immune) tissue of the stomach, whereas adenocarcinoma arises from the glandular cells lining the stomach.

What is the survival rate?

If detected early, the 5-year survival rate for gastric lymphoma can be around 60-80% or higher, depending on stage and treatment response.

What's the ICD-10 code for this condition?

The primary code for gastric lymphoma is C83.1, which specifies extranodal (stomach) lymphoma.

Can treating H. pylori help?

Yes. Eradicating H. pylori with antibiotics may lead to regression of early, localized gastric lymphoma in some cases.

What tests confirm gastric lymphoma?

Diagnosis typically requires an upper endoscopy with biopsy, supported by blood tests and imaging studies (CT or PET scans) to stage the disease.

Is surgery always needed?

No. Many patients achieve remission with chemotherapy, immunotherapy, or targeted therapy. Surgery is reserved for select early tumors or complications.

How long is recovery?

Recovery time varies by treatment modality and individual factors. Many patients start feeling better within a few weeks, though full treatment courses may last months.

Do you offer support?

Yes. At GastroDoxs we provide dietary counseling, nutritional planning, psychosocial support, and access to local support groups.

How should I prepare for my first visit?

Please bring any prior test results, a list of current medications, and your complete medical history to help Dr. Chadha tailor your evaluation.

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