Treatment of gastric cancer in IsraelTreatment of gastric cancer in Israel - is a service of leading physicians, including oncologists, surgeons; a definitive diagnosis of the disease, the success of the organ operations, the use of chemotherapy and the latest generation of modern equipment for performing radiation therapy.

Among other cancer this type of cancer is a leader. For example, in Russia it is the second most common pathology among other cancers. Due to the prevalence of it is subjected to thorough investigation. Particularly effective different treatment in Israel .

Stomach cancer is effectively treated in a specialized oncology center David (based on MC Rabin), and in the offices of the guiding oncological clinics of the country: Assuta, Sourasky (Ichilov), Assaf Harofeh. Our company offers the organization of diagnosis and treatment of this disease in Israel.

Advantages of the treatment of gastric cancer in Israel with MS «Tlv.Hospital»:

  1. Experience in the field of medical tourism for over 10 years (membership in the Association of Israeli medical tourism companies).
  2. Personal approach to each client, taking into account all the wishes and possibilities.
  3. flexible pricing strategy - the ability to offer a variety of options for cost, dependent on the choice of clinics, doctors, and other conditions. Prices correspond to the value which the patient pays for direct treatment in the medical center.
  4. Professional organization of diagnosis and treatment of gastric cancer in Israel, in a short time (diagnostics for the three days). We provide medical care corresponding to the highest international standards.

Please call (972) 3 37 41 308, email [email protected] or use the application form.

Leading experts in the treatment of gastric cancer in Israel

Our company will select the best doctors on this disease, having knowledge and experience. We arrange a consultation with a renowned expert in the short term, passing the waiting queue, allowing you to concentrate fully on the treatment process.

Here we present some information:

  • Professor Ron Greenberg - surgeon - oncologist, one of the specializations - removal of gastric tumors. Conducts operations in clinic Ihilov.
  • Irina Stefano - oncologist, Deputy. Director of the Oncology Department Suraski. One of the specialties - a cancer of the stomach.
  • Svetlana Zalmanova - Oncology - Radiologist, Head of the Institute of radiation therapy at Assuta center.
  • Julia Greenberg - oncologist and radiotherapist at Assuta, specialized, including in the treatment of gastric cancer.
  • Professor Ron Ilan Gil - oncologist at Assuta, one of the specialties - malignant tumors of the digestive tract.

About the disease

To date, the medicine is not revealed significant causes of cancer in the stomach. However, there is a certain list of factors that contribute to their development.

  1. Infection with the bacterium Helicobacter pylor, which provokes the formation of ulcers.
  2. Chronic gastric pathology: peptic ulcer, gastritis, anemia pernizioznaya, Barrett's syndrome.
  3. Features of diet: obesity, alcohol abuse, smoking, salty foods, pickles, etc.
  4. Age older than 55 years.
  5. Hereditary predisposition.
  6. Smoking.
  7. Environmental factors.
  8. A sedentary lifestyle, lack of physical activity.

Symptoms of stomach cancer

In the initial stages of stomach cancer is difficult to detect, because it has no distinct clinical manifestations. However, you should pay more attention to their health, if you notice discomfort in the stomach or unsubstantiated leaps of appetite and weight. Wake-up call can be regarded as a manifestation of some of the following symptoms for two to three weeks.

  1. Decline, loss of appetite.
  2. Indigestion.
  3. "Gastric discomfort": a feeling of heaviness and a false feeling of fullness, stomach pain, nausea, retching.
  4. Wanton weight loss, depression.
  5. Fatigue, general weakness.

By the later symptoms may include the following features.

  1. Gastrointestinal bleeding.
  2. Vomiting.
  3. Epigastric pain.
  4. Anemia.
  5. Vomiting.
  6. Violation of the chair.
  7. Rapid weight loss.
  8. Increasing the size of the abdomen due to accumulation of fluid.

The combination of chemotherapy and targeted therapy is regarded as one of the most effective treatment protocols for gastric cancer in Israel. As a result, there are less severe side effects and high therapeutic effect.

Diagnosis of gastric cancer in Israel

In order to diagnose stomach cancer in Israel, conducting the following range of procedures required.

  1. Fibrogastroscopy (with a probe made a visual inspection of the stomach and duodenum, and esophagus).
  2. Biopsies (tissue samples are extracted from the digestive system).
  3. Fluoroscopy (with application of contrast - barium sulfate).
  4. Ultrasonography.
  5. Laboratory tests (blood test).
  6. Computed tomography (detection of metastases).
  7. Laparoscopy (detection of small metastases that are not visible on ultrasound and CT).
  8. Additional studies.

Comprehensive survey takes no more than 5 days.

Treatment of gastric cancer in Israeltreatment of gastric cancer in Israel

Selecting the treatment of malignant tumors of the stomach based on a number of factors:

  • stage of the disease;
  • age;
  • related pathologies;
  • health of the patient, etc.

Surgery ( total gastrectomy , various types of resection , palliative surgery ) - this is the most radical and effective way to treat cancer of the stomach today. The best performance in this area showed Israeli medical centers. Depending on the propagation stage, the treatment of gastric cancer in Israel is different. This may be an operation, medication, chemotherapy , radiation therapy, palliative treatment, or a combination of the above.

Working with our company, you can be sure that the treatment of gastric cancer in Israel with the medical service en.thebestmedic.com guarantee you maximum efficiency.

Treatment of stomach cancer at stage 0

Consider the possibilities of treatment of this disease at the stage 0. The choice of treatment options for stomach cancer in Israel is due to the peculiarities of each case of the disease. Statically quite rare stomach cancer is diagnosed at this stage.

Surgery is considered as a basic and primary treatment of gastric cancer in Israel. type of operation - resection, the choice of which is caused by the localization of tumors. The distal resection applied if the tumor is located in the lower part of an organ, a total gastrectomy - in the center or in the upper segment, the proximal - in the top or in the region where the stomach connects with the esophagus. Also removed the lymph nodes adjacent to the stomach.

Endoscopic mucosal resection gastric applied if tumor less than 1 cm, spread deeply into the mucosa. This procedure is performed only rarely.

Treatment of gastric cancer in Israel on 1 stage

Selection techniques associated with the characteristics of each particular case.

Operation is applied first. Select the type of resection is associated with localization of malignancy. The distal resection conducted when tumor process hit the bottom part of the stomach, total - a central part and an upper, proximal - the upper segment or zone of the stomach and esophagus compound. Also produced removal of the lymph nodes located nearby.

Surgery in Step 1A is the only method of treating gastric cancer in Israel, which is required. If the cancer cells have spread to the lymph nodes (step 1B), chemotherapy or radiation therapy may be recommended.

In most cases the treatment with cytostatics in step 1B administered in conjunction with irradiation. Applicable schemes of chemotherapy:

  • ECF - epirubicin (Pharmorubicin), cisplatin (Platinol AQ) and 5-fluorouracil (Adrucil, 5-FU). It is referred to before and after resection.
  • Epirubicin (Pharmorubicin), cisplatin (Platinol AQ) and capecitabine (Xeloda) - assigned before and after surgery.
  • 5-fluorouracil and leucovorin (folic acid) - this combination most often recommend surgery in combination with irradiation.

External beam radiotherapy can be offered in step 1B disease. For the most part in combination with chemotherapy, mainly with 5-fluorouracil and leucovorin (Leucovorin).

Treatment of gastric cancer in Israel on 2 stages

In each case, will develop an individual treatment program.

The primary method is also applied surgery - a distal, proximal or total resection depending on the localization of malignancy.

Chemotherapy can be offered at the 2 stage of the disease after surgery, often in combination with radiotherapy. Cytostatics used schemes:

  • The ECF - epirubicin (epirubicin), cisplatin (sisplatin) and 5-FU (5-fluorouracil) - is most often used - before and after surgery.
  • 5-fluorouracil and leucovorin (Leucovorin) mainly assigned with radiotherapy following surgery.
  • Cisplatin (sisplatin) and etoposide.
  • Epirubicin (epirubicin), cisplatin (sisplatin) and capecitabine (Xeloda).
  • Cisplatin (sisplatin) and 5-FU (fluorouracil).
  • Docetaxel, cisplatin (sisplatin) and 5-FU (5-fluorouracil).
  • Epirubicin (epirubicin), carboplatin (Paraplatin) and 5-fluorouracil.

External beam therapy is generally recommended in combination with chemotherapy - Scheme 5-fluorouracil and leucovorin (Leucovorin) 2 stage disease.

Treatment of gastric cancer in Israel on 3 stages

Consider the possible methods of treatment of this stage of the disease.

Surgery is the main treatment for 3 steps. Laparoscopy may be performed to identify whether the disease has spread to other parts of the abdominal cavity - liver or pancreas, and to determine the required type of resection. Also used are 3 types of resection, the choice of which is determined by the location of the tumor - the distal, proximal and total. Produced removing lymph nodes adjacent to the stomach.

Chemotherapy 3 staging serves to surgery to reduce the size of malignancy, and after it, often in combination with radiotherapy.

Schemes of chemotherapy:

  • ECF - epirubicin (epirubicin), cisplatin (sisplatin) and 5-FU (5-fluorouracil).
  • Epirubicin (epirubicin), cisplatin (sisplatin) and capecitabine (Xeloda).
  • 5-fluorouracil and leucovorin (Leucovorin).

In the treatment of stomach cancer stage 3 may also be recommended teletherapy, usually in combination with cytostatics - 5-fluorouracil and leucovorin (Leucovorin).

Targeted therapy in the treatment of gastric cancer in Israel is used in some cases in this phase of the disease, if the tumor can not be removed surgically and on its surface there are a large number of protein called HER2, which promotes the growth of cancer.

Treatment for stomach cancer 4 degrees in Israel

The choice of treatment methods in this step is due to the characteristics of each particular case.

Chemotherapy 4 disease stage serves as the primary treatment of gastric cancer in Israel, to slow the progression of the disease. Given before surgery to shrink tumor size and after it, often in combination with radiotherapy.

Schemes used chemotherapy drugs in the treatment of gastric cancer in Israel:

  • The ECF - epirubicin (epirubicin), cisplatin (sisplatin) and 5-FU (5-fluorouracil) - used in most cases.
  • 5-fluorouracil and leucovorin (Leucovorin) is often recommended irradiation.
  • Epirubicin (epirubicin), cisplatin (sisplatin) and capecitabine (Xeloda).
  • Cisplatin (sisplatin) and 5-FU (fluorouracil).
  • Docetaxel (Taxotere), cisplatin (sisplatin) and 5-FU (fluorouracil).
  • 5-FU (5-fluorouracil), leucovorin (Leucovorin) and irinotecan (Camptosar, CPT-11).

Remote radiotherapy may be recommended in the treatment of gastric cancer stage 4 in the following cases:

  • Alone or in combination with cytotoxic drugs, often with 5-fluorouracil and leucovorin.
  • To attenuate manifestations of the disease caused by metastases.
  • In order to stop uncontrolled bleeding, provoked by a tumor of the stomach.
  • Reduce tumor size, causing blockage.
  • Ease the pain.
  • To treat the symptoms that led to the metastases in the bones and head.

Targeted therapy is recommended in the treatment of gastric cancer stage 4, if the tumor is HER2-positive. Used drug trastuzumab (herceptin). He may designate in combination with chemotherapy - cisplatin (Platinol AQ) and 5-fluorouracil (Adrucil, 5-FU) or Capecitabine (Xeloda). Such schemes are typically used if the disease is not responding to treatment or cancer progresses.

Surgery in the treatment of gastric cancer in Israel

Palliative surgery may be offered in the treatment of gastric cancer stage 4 to ease pain and control symptoms of metastatic cancer. Choosing the type of operation caused symptoms localization malignancy and the general state of the patient, nutrition , and other indicators.

Types of palliative surgery:

  • Bypass surgery is performed to remove the consequences of blocking the stomach or esophageal tumors, creating a workaround for the passage of food and fluids.
  • Stent set when the tumor is blocking the entrance to the stomach from the esophagus so that the patient with cancer metatstaticheskim could swallow food. Also, the stent can be placed into the opening of the duodenum to the food supplied to it from the stomach.
  • If surgery or other methods do not eliminate the blockage caused by a tumor gastrostomy performed by setting the feeding tube into the abdominal cavity to provide the body with a liquid supply and maintain weight.

Treatment of recurrence of gastric cancer in Israeli hospitals

In each case, the disease creates an individual program of treatment of gastric cancer in Israel.

Chemotherapy

At relapse, in some cases, it may be offered chemotherapy. Selecting it will be due to the type of chemotherapy and other methods that have been used previously, as well as the general state of health of the patient.

Applicable schemes of chemotherapy:

  • ECF - epirubicin (epirubicin), cisplatin (sisplatin) and 5-fluorouracil (Adrucil, 5-FU), often resorted to it before and after surgery.
  • 5-FU (5-fluorouracil), leucovorin (Leucovorin).
  • Epirubicin (epirubicin), cisplatin (sisplatin) and capecitabine (Xeloda).
  • Cisplatin (sisplatin) and 5-FU (5-fluorouracil).
  • Docetaxel (Taxotere), cisplatin (sisplatin) and 5-FU (5-fluorouracil).
  • 5-FU (5-fluorouracil), leucovorin (Leucovorin) and irinotecan (Camptosar, CPT-11).

Surgery

On return of the disease it can be recommended palliative surgery to relieve pain and to control the symptoms of relapse. Surgery type determined signs of the disease, the localization of tumors, the general condition of the patient in the treatment of gastric cancer in Israel.

  1. Gastrectomy - partial gastrectomy is performed to remove the tumor if the patient is healthy enough to undergo surgery.
  2. Bypass surgery is performed to redirect the flow of food and fluids around malignancy, blocking the stomach or esophagus.
  3. Stenting is used, if the tumor blocks the entrance to the stomach from the esophagus to facilitate the swallowing to the patient. Also, it is set into the opening of the duodenum to the food took it from the stomach.
  4. By feeding tube placement resort when surgery or other methods do not eliminate the blockage. Thus, the human body provide a liquid food, contributing to the conservation of weight.

Radiotherapy

External beam radiotherapy is offered in the treatment of gastric cancer recurrence:

  • alone or in combination with cytostatics;
  • to relieve symptoms of the disease: to stop uncontrolled bleeding caused by a tumor; reduce the amount of neoplasms, provoking blockage; ease the pain; treat the symptoms of metastases in the bones and the brain.

Follow-up

The disease manifests itself in different ways in each case, so there is no standard pattern of observation. The doctor develops a subsequent plan corresponding to the individual situation.

If after treatment there are new symptoms that do not go, do not expect the planned destination. These manifestations may include: difficulty with feeding and swallowing, vomiting, swelling of the abdomen, weight loss.

the likelihood of recurrence is greatest within 3 years, so the observations are necessary during this period.

Follow-up visits for the most part are planned as follows:

  • 3 months after the initial treatment of gastric cancer in Israel.
  • Every 3-6 months during the first three years.
  • After this period once a year.

During the visits, the doctor asks about the side effects of treatment, and how a person copes with them. Can ask questions related to nutrition, conduct a complete physical examination, including examination of the abdominal cavity.

The following tests will be carried out in the framework of surveillance or specialist if there is suspicion of relapse.

  • Determining the level of vitamin B12. Its content is checked in people who underwent subtotal or total gastrectomy, the stomach and can not absorb this vitamin.
  • Complete blood analysis checks for anemia, which could indicate bleeding from the tumor.
  • Biochemical analysis of blood reflects liver and kidneys to see if these organs the cancer has spread.
  • Endoscopic examination.
  • CT scan.

If you reveal a relapse, oncologists will evaluate and determine the best treatment options.

Supportive care after treatment of gastric cancer in Israel

The main task - solving the problems associated with the disease therapy. This is an important part of treatment. There are many programs that enhance the quality of life of people.

The recovery process after the treatment of gastric cancer in Israel, to the adaptation of life for each person vary, depending on the extent of the disease, type of therapy and many other factors. Completion of treatment can lead to mixed emotions. Even if the treatment is over, there may be issues, such as how to cope with long-term side effects. A person passing this type of therapy, may be the following problems.

Dumping

It occurs when food moves too quickly from the stomach into the small intestine. This is a consequence of the treatment is observed after surgery, when the stomach segment or completely the entire organ has been removed.

Gastroesophageal reflux disease

Disease (GERD), at which the casting of stomach contents into the esophagus, damaging it. GERD may be the result of surgery. Symptoms include heartburn, discomfort in the upper abdomen or chest, belching. Treatment involves changes in diet, an exception to the extent possible acute and acidic foods, avoiding alcohol and carbonated drinks, stay after eating the food and drinks in a sitting position, stored in a raised position of the head and shoulders during sleep, intake of antacids.

cecum syndrome

This is a rare complication after distal gastrectomy. During the operation of the stomach stump connected to the end of the small intestine. Food can return to what was left of the stomach and create a blockage, causing the infection can develop. Among the signs of illness noted abdominal pain, loss of appetite, bloating, diarrhea, steatorrhea (fatty stools), nausea, weight loss.

As treatment options for antibiotic therapy can be offered, and surgery to remove the lock, delete or move locked loop.

Prognosis and survival in gastric cancer

The prognosis is influenced by many factors. Adequate prediction may do doctor who knows the patient's history and its particular tumor type, stage, and treatment is conducted by reaction of the organism. Consider the factors that affect the prognosis.

  1. Step crucial. The two most important indicators - the phase of disease and lymph node involvement. Neoplasm that has not spread beyond the walls of the stomach, has a better prognosis. The number of affected lymph nodes affects prognosis - 4 or more - worsen it.
  2. The localization of the tumor. Tumors in the lower part of the stomach have a more favorable prognosis than the upper.
  3. The type of malignancy. Intestinal gastric cancer (intestinal type) have a better prognosis than diffuse tumors.
  4. Cancerous cells in peritoneal washings. If cancer cells are found in the washings of the abdominal cavity, made during surgery, the prognosis is worse.
  5. Complete removal of the tumor. If the pathological process was completely resected during surgery, prognosis is more favorable.
  6. Age. Patients younger than 65 years old have a more favorable prognosis.

Prices of treatment of gastric cancer in Israel

Here are examples of pre-diagnostic program and the price of surgery to remove a malignancy. The total cost of the treatment of gastric cancer in Israel, it will be possible to know, after consultation with the attending physician in the Israeli clinic. Compared to the prices of European countries and the United States, the cost of diagnosis and treatment in Israel - is quite attractive, being lower by approximately 30%.

Prices diagnostic procedures (program number 1):

  1. Medical consultation - $ 600.
  2. Blood tests (clinical biochemistry) - 540 USD.
  3. Tests for tumor markers - 240 dollars.
  4. Revision histological material (tissue samples) - 680 fraction.
  5. Study PET-CT - 1670 dollars.

The result - 3730 dollars.

Prices diagnostic procedures (program number 2):

  1. Medical consultation - $ 600.
  2. Blood tests (clinical biochemistry) - 540 USD.
  3. Tests for tumor markers - 240 dollars.
  4. Fence tissue samples (biopsy) - 610 fraction.
  5. Gastroscopy (s test for Helicobacter Pilori) - 1080 dollars.
  6. CT study PET - 1670 dollars.

The result - 4740 dollars.

Removal of the tumor - gastrectomy - 32,650 dollars.

The price of the operation includes the necessary materials, the operating lease; Payment of the surgeon, the surgical team, anesthesiologist; being in the hospital after gastrectomy (six days), and logistics services.

Further, additional materials, and procedures may be used:

  1. Stepplery - 1 $ 700.
  2. Harmonic Scalpel - 680 dollars.
  3. Histology biopsy - 1170 dollars.

Subtotal - 36 $ 200.

Price of diagnosis and treatment depends on the individual case of the disease. After surgery, the physician may prescribe further passage of radiation therapy, chemotherapy or other treatments to prevent relapse risk.

We, KC «Tlv.Hospital», offer the organization of treatment of gastric cancer in Israel from the best experts - Professor Joseph Klausner, a professor of hanok Chestnut and others. Depending on the specific situation of the disease is chosen doctor and clinic to suit individual patient requirements. Write to us through the inquiry form or call.

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