Gastric Care by Advitya

Advanced Stomach Care

Accurate endoscopic diagnosis and expert treatment for gastritis, peptic ulcers and gastric cancer — because persistent indigestion deserves a look, not another prescription.

GI & surgical oncology
Endoscopy · EUS · CT staging
Multidisciplinary tumour board
Cutaway anatomical illustration of the upper digestive tract, showing the stomach opened to reveal its lining, with the liver, gallbladder, spleen, small intestine and colon around it
Anatomical illustration of the stomach: the oesophagus entering at the cardia, the fundus, a cutaway showing the folded rugae of the lining, the antrum and pylorus, with a magnified detail of the mucus layer that protects the wall from its own acid
The Programme

An organ that digests itself unless it is protected

The stomach is a muscular reservoir that mixes food with acid strong enough to dissolve metal, then releases it in controlled portions into the small intestine. It survives its own acid through a mucus barrier that renews continuously. Almost all common stomach disease comes down to a failure of that barrier — through infection, medication or reflux.

Helicobacter pylori is the single most important cause. It colonises the lining, provokes chronic inflammation, and accounts for the great majority of peptic ulcers. It is also a recognised risk factor for gastric cancer. It is detectable by a simple breath, stool or biopsy test — and curable with a two-week course.

The clinical difficulty is that early gastric cancer produces exactly the same symptoms as ordinary indigestion. Nothing in the history reliably separates them. That is why persistent dyspepsia — particularly with weight loss, anaemia, vomiting or difficulty swallowing — is scoped rather than treated empirically for months.

90%Of peptic ulcers linked to H. pylori
14Days of therapy to eradicate it
1Team, from endoscopy to follow-up
Conditions We Treat

The full spectrum of gastric disease

From an H. pylori infection cured in a fortnight to a total gastrectomy — each condition is managed by the same specialist team, using one shared treatment plan.

Gastritis

Inflammation of the stomach lining, most often from H. pylori infection, but also from regular anti-inflammatory medication, alcohol or bile reflux. Diagnosed on endoscopy with biopsy rather than on symptoms alone.

Common

Peptic Ulcer Disease

Open sores in the stomach or duodenal lining. Curable in the great majority of cases by eradicating H. pylori and withdrawing the responsible medication — provided eradication is confirmed afterwards rather than assumed.

Curable

H. pylori Infection

A bacterial colonisation carried by a large share of the population. Detected by breath, stool or biopsy testing, and cleared with combination antibiotic and acid-suppression therapy over ten to fourteen days.

Infection

Gastric Polyps

Growths on the stomach lining, usually harmless. Fundic gland and hyperplastic polyps are typically observed; adenomatous polyps and any lesion over a centimetre are removed endoscopically and examined.

Surveillance

Gastroparesis

Delayed stomach emptying, most often from long-standing diabetes affecting the vagus nerve. Causes nausea, early fullness and vomiting of food eaten hours before. Managed with diet, prokinetics and glycaemic control.

Functional

Gastric Cancer

Usually adenocarcinoma of the lining. Early disease is silent or mimics indigestion exactly, which is why endoscopy in the right patients matters more here than almost any other investigation.

Surgical oncology

GIST & Rare Tumours

Gastrointestinal stromal tumours, lymphoma and neuroendocrine tumours. They behave quite differently from adenocarcinoma and need distinct treatment, including targeted therapy rather than conventional chemotherapy.

Specialist
Warning Signs

Six symptoms worth a specialist opinion

Indigestion is common and usually benign. These are the features that turn it into a reason for endoscopy rather than another course of antacids.

Burning upper abdominal pain

A gnawing pain below the breastbone, relieved or provoked by eating.

Early satiety

Feeling full after a few mouthfuls — rarely reported unless specifically asked.

Black, tarry stools

Digested blood from a bleeding ulcer. An emergency, not something to monitor at home.

Unintentional weight loss

Weight loss with dyspepsia is an indication for endoscopy regardless of age.

Persistent vomiting

Vomiting food eaten hours earlier suggests delayed emptying or outlet obstruction.

Fatigue from anaemia

Slow blood loss found on a routine blood test, often before anything else appears.

Advanced Diagnosis

A clear pathway from first visit to a firm answer

Endoscopy answers most questions directly and treats what it finds in the same sitting. Everything else exists to stage what it discovers.

01

Consultation

History, examination and a review of every previous report, scan and prescription.

02

H. pylori Testing

Urea breath, stool antigen or biopsy testing — accurate only off acid suppression.

03

Upper GI Endoscopy

Direct view of the lining, with biopsy of anything abnormal in the same sitting.

04

EUS & CT Staging

Endoscopic ultrasound for depth of invasion, CT for nodal and distant spread.

05

Diagnosis

Findings taken to a multidisciplinary board so the stage and plan are agreed once.

06

Personalised Treatment

A written plan covering procedure, nutrition, recovery and follow-up schedule.

Treatment & Surgery

Every option, under one team

Medical, endoscopic and surgical care, alongside the nutritional support that determines how well you eat afterwards.

H. pylori Eradication

Two antibiotics with acid suppression for ten to fourteen days, followed by confirmatory testing to prove the infection has actually cleared.

Acid Suppression

Proton pump inhibitors to heal ulcers and control reflux, with a review of any NSAID or aspirin that contributed to the problem.

Endoscopic Resection

Removal of polyps and early-stage lesions through the endoscope, avoiding open surgery entirely where depth of invasion permits.

Endoscopic Haemostasis

Clipping, injection or thermal control of a bleeding ulcer at the same endoscopy that diagnoses it — the reason most bleeds never reach theatre.

Subtotal Gastrectomy

Removal of the affected portion with a systematic D2 lymph node clearance, for tumours of the lower or middle stomach.

Total Gastrectomy

Complete removal with reconstruction, for proximal or diffuse disease, planned alongside lifelong B12 and iron replacement from the outset.

Chemotherapy

Perioperative treatment for most locally advanced tumours, with targeted therapy such as trastuzumab where the tumour is HER2-positive.

Nutritional Rehabilitation

Smaller, more frequent meals, dumping syndrome management, and monitoring of iron, B12 and fat-soluble vitamins after gastric surgery.

Why Advitya

Specialist depth, without the distance

Gastric cancer outcomes depend on the quality of the nodal clearance and on the nutritional care that follows. Both are done properly here, close to where patients live.

Advanced GI Expertise

Fellowship-trained gastrointestinal and surgical oncology, with D2 gastrectomy as routine rather than occasional practice.

Multidisciplinary Care

Surgeons, gastroenterologists, radiologists, oncologists and dietitians working from one shared plan.

Advanced Diagnostics

High-definition endoscopy with narrow-band imaging, endoscopic ultrasound, CT staging and HER2 testing where it changes treatment.

Personalised Treatment

A written plan for your stage, your fitness and your circumstances — with a cost estimate before admission.

Nutrition-Led Follow-up

Eating changes permanently after gastric surgery. Our dietetic team stays involved long after the wound has healed.

Treatment Journey

What the road ahead actually looks like

Six stages, from your first appointment to long-term follow-up — so you always know where you are and what comes next.

01

Consultation

Your history and existing reports reviewed by a specialist, in person or by video.

02

Endoscopy

Direct examination with biopsy, under sedation, usually as a day case.

03

Staging & Planning

EUS and CT, then a board decision on the sequence of chemotherapy and surgery.

04

Treatment

Medical therapy, endoscopic resection or gastrectomy — as planned, by the same team.

05

Recovery

Graded diet from liquids to soft food, with dietetic review before you go home.

06

Follow-up

Surveillance endoscopy, imaging and nutritional bloods on a defined schedule.

Frequently Asked

Questions patients ask us most

When does indigestion need an endoscopy?

When it persists beyond a few weeks despite treatment, or when any alarm feature is present:

  • Unintentional weight loss
  • Difficulty swallowing
  • Persistent vomiting
  • Iron-deficiency anaemia
  • A palpable mass in the upper abdomen

New dyspepsia beginning after 45 also warrants endoscopy rather than empirical treatment.

How do I know if I have H. pylori?

A urea breath test, stool antigen test or biopsy taken at endoscopy will all detect it accurately. The important caveat is preparation: acid-suppressing medication must be stopped for two weeks and antibiotics for four weeks beforehand, otherwise the test can come back falsely negative and the infection is missed.

Can peptic ulcers be cured completely?

Yes. Eradicating H. pylori and withdrawing the responsible medication cures the great majority permanently. Confirming eradication afterwards matters, because ulcers recur in exactly those patients where treatment failed but was assumed to have worked.

Do I need surgery for a stomach ulcer?

Rarely. Almost all ulcers heal with medical treatment. Surgery is reserved for complications — perforation, bleeding that endoscopy cannot control, or scarring that obstructs the gastric outlet.

Is gastric cancer curable?

It is curable when caught early. Tumours confined to the mucosa can sometimes be removed endoscopically with excellent long-term outcomes. The difficulty is that early disease is either symptomless or indistinguishable from indigestion, which is why endoscopy in the right patients matters so much.

What is life like after gastric surgery?

Eating changes permanently. The reduced reservoir means smaller, more frequent meals, and some patients experience dumping syndrome, where food passes into the intestine too rapidly and causes nausea, sweating or diarrhoea. Vitamin B12 and iron need monitoring and usually supplementation. With dietetic support most patients adapt well within a few months.

How can I reduce my risk of gastric cancer?

Test for and treat H. pylori if you have persistent dyspepsia or a family history. Beyond that: limit salted, smoked and preserved foods, eat fresh produce and whole grains, avoid smoking, moderate alcohol, and use anti-inflammatory medication only as prescribed.

Do you review reports before I travel for an appointment?

Yes. For outstation patients, a video review of your endoscopy report, biopsy and scans is usually the first step, so the trip is made only when it will change something. Bring the actual films or CD rather than only the printed report, along with previous prescriptions, discharge summaries and blood work from the last three months.

Stop treating indigestion blindly.

If symptoms have persisted for weeks, or come with weight loss or anaemia, a single day-case endoscopy settles the question.

+91 9211221551 · info@advityahealthcares.com · Reports reviewed before you travel

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