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Gastric Adenocarcinoma

Gastric adenocarcinoma begins in the stomach's lining and represents the most prevalent stomach cancer. Early detection is vital for improved outcomes. At GastroDoxs in Houston, Dr. Scott delivers tailored treatment plans, advanced therapies and support to guide you to recovery.

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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
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Common Causes and Risk Factors

  • Long-term infection with Helicobacter pylori
  • Family history of stomach cancer
  • Smoking or heavy alcohol use
  • Diet high in salty or smoked foods, low in fruits and vegetables
  • Chronic gastritis or stomach ulcers

Signs and Symptoms

  • Pain or burning in the stomach
  • Bloating after eating
  • Unplanned weight loss
  • Trouble swallowing
  • Feeling full quickly when eating

How Dr. Scott Diagnoses Gastric Adenocarcinoma?

Dr. Scott uses a step-by-step approach:

Medical History and Physical Exam

He reviews your epigastric pain-its onset, duration, relation to meals-and discusses risk factors such as H. pylori infection, family history, smoking, and diet.

Endoscopy and Biopsy

An upper endoscopy (EGD) allows direct visualization of the stomach lining. Tissue samples are taken to confirm malignancy and assign the proper ICD-10 code (C16.0-C16.9).

Imaging Studies

  • CT scan of the chest, abdomen, and pelvis to assess tumor size, local invasion, and lymph node status.
  • PET scan to detect distant metastases and guide staging (including Stage IV disease).

Laboratory Tests

Complete blood count, liver and kidney function tests, and tumor markers help evaluate overall health and organ function prior to treatment.

Endoscopic Ultrasound (EUS)

When needed, EUS measures tumor depth and regional lymph node involvement to refine staging and treatment planning.

Dr. Scott performing endoscopy
Treatment

Our Team offers a full range of care for gastric adenocarcinoma.

1. Lifestyle and Diet Changes

  • Eat smaller meals more often
  • Choose lean protein, whole grains, and fresh fruits and vegetables
  • Cut back on salty, smoked, and processed meats
  • Stay active with light daily exercise

2. Medications

  • Chemotherapy to destroy cancer cells
  • Targeted drugs to block cancer growth
  • Immunotherapy to help your immune system fight cancer

3. Minimally Invasive or Advanced Procedures

  • Laparoscopic surgery to remove tumors through small cuts
  • Endoscopic mucosal resection for early-stage cancers
  • Robotic-assisted surgery for better precision
Scott Liu

About the Expert

Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.

Frequently Asked Questions

What is the ICD-10 code for gastric adenocarcinoma?

Gastric adenocarcinoma is coded C16.0 through C16.9 depending on the tumor's location within the stomach.

What are survival rates for stage 4 gastric adenocarcinoma?

Survival rates vary based on overall health and treatment response. Dr. Scott will discuss your individual outlook.

Is gastric adenocarcinoma curable?

Early-stage gastric adenocarcinoma can often be treated successfully. In advanced stages, treatment focuses on slowing cancer growth and easing symptoms.

How long does treatment take?

Treatment duration depends on your personalized plan; most courses of therapy last between three and six months. Dr. Scott will provide a detailed schedule.

What should I bring to my first visit?

Please bring any previous medical records, imaging or scan results, a list of current medications, and any questions you may have.

Does stomach cancer run in families?

There can be a hereditary component. If you have a family history of stomach cancer, genetic counseling may help assess your risk.

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