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CANCER · DWARIKA HOSPITAL
Surgery and targeted therapy for gastrointestinal stromal tumours of the stomach and bowel.
Book aALSO KNOWN ASGist tumor treatmentGist tumorGastrointestinal stromal tumor surgery
Written for patients, reviewed by the surgeons who perform this treatment.
GISTs are rare tumours that grow in the wall of the digestive tract, most often the stomach. They are treated by precise surgical removal — frequently by laparoscopic surgery — and, when needed, highly effective targeted (oral) therapy.
A gastrointestinal stromal tumour (GIST) arises from specialised pacemaker cells in the wall of the digestive tract. Unlike common cancers that start in the lining, GISTs grow within the wall itself. Most occur in the stomach, and they range from small, incidental lesions to larger tumours that need treatment.
Small GISTs are often found by chance during endoscopy for another reason. Larger ones can cause bleeding (sometimes seen as anaemia or black stools), vague abdominal discomfort or a feeling of fullness. Diagnosis uses gastroscopy, endoscopic ultrasound (EUS) with biopsy, and CT for staging.
The main treatment for a localised GIST is precise surgical removal with a clear margin, frequently achievable by laparoscopic surgery for tumours in suitable locations. For larger, higher-risk or advanced GISTs, targeted oral therapy (tyrosine-kinase inhibitors) is remarkably effective and may be used before or after surgery.
GISTs should be removed intact with a clear margin while avoiding rupture, as careful technique strongly influences outcome. Combining experienced surgery with modern targeted therapy gives excellent long-term results.
This guide was originally published by Dr. Avinash Tank in his medical-education library.Read “GIST (Gastrointestinal Stromal Tumour)” on dravinashtank.in
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This overview was originally published by Dr. Avinash Tank in his medical-education library.Digestive Cancer: the full overview
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Surgery at Dwarika happens in the hospital's own operating theatres, with intensive care in the same building. Real clips — silent, with no patient identifiable.
BEFORE SURGERY · 01 / 09
BEFORE SURGERY
IN THEATRE
Operations from our theatres, patients who were treated here, and our surgeons explaining it — all from the hospital's own channel.

Dr. Avinash Tank
Director & Chief Surgical GastroenterologistMeet Dr. Avinash Tank, the surgeon leading Dwarika’s team. Trained at SGPGIMS — India's premier GI institute — with advanced fellowships in Japan and South Korea.
Figures reflect Dr. Avinash Tank’s career record, as published by his practice.
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What every patient can expect here — from the first call to the last follow-up.
01.
Surgery here is performed by MCh-qualified surgical gastroenterologists, not general surgeons operating outside their specialty.
02.
Laparoscopic and scarless techniques are the standard approach, reserving open surgery for cases that genuinely need it.
03.
Diagnosis, surgery, nutrition and follow-up sit under one roof — you are not handed between disconnected clinics.
04.
Every patient is told what the operation can and cannot achieve, with costs stated upfront, before anything is scheduled.
EVERY STEP, TOGETHER
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Articles and documented cases that point to this treatment.
GISTs are tumours with a range of behaviours from low to high risk. Localised GISTs are usually cured by complete surgical removal.
Performed at our GI Cancer Surgery centre.
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