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What is A 75-year-old man is admitted with epigastric pain, anemia, and weight loss. On upper gastrointestinal endoscopy, a large ulcer is found in the distal antrum. The biopsy report shows adenocarcinoma of the stomach. CAT scan of the liver shows no metastasis. You would recommend: and explain in detail?
A subtotal gastrectomy with negative margins is appropriate treatment for gastric carcinoma. Vagotomy adds nothing as patients with gastric cancer are invariably achlorhydric. A Whipple procedure is done for pancreatic carcinoma. Total gastrectomy is rarely indicated for a distal gastric carcinoma.