Stomach Cancer Treatment in Singapore

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What is Stomach Cancer?

Stomach cancer is the 7th most frequent cancer in males and 9th most frequent cancer in females in Singapore (2014-2018) according to the Singapore Cancer Registry.

Stomach cancer is the cancer of the cells of the inner lining of the stomach. The medical term for stomach cancer is gastric adenocarcinoma.

Stomach Cancer Conditions

  • Adenocarcinoma (most common)
  • Gastrointestinal stromal tumors (GISTs)
  • Lymphomas of the stomach
  • Neuroendocrine tumors

Symptoms of Stomach Cancer

Stomach cancer may not present with any symptoms in the early stages. However, common symptoms include:

  • Difficulty swallowing
  • Pain during swallowing
  • Weight loss
  • Heartburn
  • Regurgitation
  • Vomiting blood
  • Black, tarry bowel movements
  • Hoarse voice
  • Persistent cough

When to Seek Stomach Cancer Treatment

People with the above symptoms will need further evaluation.

Those with a strong family history of stomach cancer may consider screening for it.

Diagnosis of Stomach Cancer

By directly visualising the stomach through a gastroscopy, the doctor can accurately locate where the cancer is. A tissue biopsy is obtained to confirm the diagnosis.

Following the diagnosis of the cancer, a CT scan may be arranged to check if the cancer has spread.

Endoscopic ultrasound, PET scan and Laparoscopy may also be used to determine the stage of the disease.

Stomach Cancer Treatment Options

Treatment depends on the location and stage of the disease as well as the general condition of the person. Surgical treatment followed by chemotherapy and radiotherapy may be necessary as additional treatment.

A gastrectomy is an operation to remove part (partial gastrectomy) or all (total gastrectomy) of the stomach.
The operation performed depends on the location of the cancer and the size of the tumour.

Distal Partial Gastrectomy

The lower portion of the stomach is removed and the upper portion of the stomach is joined to the small intestine.

Total Gastrectomy

The entire stomach is removed and the oesophagus is attached to the small intestine. In cancer surgery, the surrounding lymph nodes are removed as well.

The surgical approach can be performed by the traditional open technique or the laparoscopic technique.

Open Gastrectomy

A vertical incision is made in the upper abdomen.

Laparoscopic Gastrectomy

In select cases, the operation can be performed with small ‘keyhole’ incisions in the abdomen.

The advantages of a laparoscopic approach are

  • Less postoperative pain
  • Early recovery of bowel function
  • Early hospital discharge
  • Early return to work
  • Better cosmetic results

Both open and laparoscopic approaches are performed under general anaesthesia. A thin tube will be inserted through the nose into the stomach during the operation and left in place for a few days after the operation.

When bowel sounds return, the diet will gradually advance from liquids to soft foods.

Causes of Stomach Cancer

  • Not yet known.
  • Related to mutations in the DNA of the cells.

Risk Factors for Stomach Cancer

  • Infection with bacteria called Helicobacter pylori (H. pylori)
  • Smoking
  • Family history of stomach cancer
  • Consumption of salty and smoked food
  • Lack of intake of fruits and vegetables
  • Lack of intake of Vitamin C
  • Pernicious Anaemia
    (an auto-immune disease where the body develops antibodies which attack parts of the stomach)

Cost of Stomach Cancer Treatment

If the cancer is still operable, the surgeon may either remove part of the stomach (partial or subtotal gastrectomy) or the entire stomach (total gastrectomy). Both types of operation are considered major operations.

For removal of part of the stomach

Based on the Ministry of Health (Singapore) historical transacted billsizes and fee benchmark, for this operation:

  • Typical Surgeons’ Fees range is S$13,500 to 20,400 (not inclusive of GST)

However, other factors that can affect the final bill includes your insurance plan and coverage for Co-payments and Deductibles as well as Medisave withdrawals.

This procedure is a Medisave claimable procedure. The Medisave withdrawal limit for this procedure is $S3610.

Based on the Ministry of Health (Singapore) historical transacted billsizes and fee benchmark, for this operation:

  • Typical Surgeons’ Fees range is S$14,600 to 23,300 (not inclusive of GST)

However, other factors that can affect the final bill includes your insurance plan and coverage for Co-payments and Deductibles as well as Medisave withdrawals.

This procedure is a Medisave claimable procedure. The Medisave withdrawal limit for this procedure is S$3610.

Dr Lim Khong Hee
Upper Gastrointestinal,
Bariatric & General Surgeon

MBBS (Singapore), M.Med (Surgery), FRCS (Edin), FRCSEd (Gen), FAMS (Surgery)

Dr Toh Bin Chet
Upper Gastrointestinal, Bariatric & General Surgeon

MBChB (UK), M.Med (Surgery), MRCS (Edin), FRCSEd (Gen), FAMS (Surgery)

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Dr Jane Tan Jye Yng

Colorectal & General Surgeon

Lim Khong Hee

Dr Lim Khong Hee

Upper Gastrointestinal, Bariatric & General Surgeon

Cost & Financing

Nexus Surgical provides comprehensive financial services to ensure a seamless and pleasant experience. 

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Mount Alvernia Hospital Medical Centre A

(65) 6353 4855

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(65) 6235 8633

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Our clinics will be closed from 16 – 18 Feb for CNY

Notice on Clinic Relocation

Our clinic at Mt Alvernia Medical Centre A will be relocating from #06-05 to #03-03 (within the same building) on Friday, 26 Sep afternoon.

Our telephone line 6353 4855 will be temporarily unavailable from 12:00pm – 6:00pm on 26 September. During this period, you may reach out to our other clinics for assistance:

We will begin operations at our new premises (#03-03) from Tuesday, 30 Sep onwards.

We look forward to serving you at our new clinic!

Nexus Surgical clinics at Mt Elizabeth Novena Specialist Centre, Gleneagles Medical Centre, Parkway East Medical Centre and Mt Alvernia Medical Centre will be closed on 28 January 2025 for Lunar New Year celebrations, while our clinic at Mt Elizabeth Orchard Medical Centre remains open from 0900-1300 hours on 28 January 2025.

Please leave a message in our voice mails and we will respond to you as soon as we can when we resume our clinics on 31 January 2025. If you require any urgent assistance, kindly go to the Urgent Care Centre of any hospitals or contact your doctor through the Emergency Answering Service. Our team at Nexus Surgical would like to take this opportunity to wish you and your loved ones a Happy & Prosperous Lunar New Year with good health in the Year of the Snake!

Nexus Surgical will be away from 17 to 20 October 2024 for our Annual Company Retreat. The aim of our retreat is to review and to recharge, so that we may serve you better. 

Our clinics at Mount Elizabeth Orchard, Mount Elizabeth Novena, Mount Alvernia and Parkway East hospitals will therefore be closed during this period. In the meantime, if you require any urgent assistance, kindly contact us through our Answering Service at +65 6333 5550.

We thank you for your understanding and patience for any inconvenience.