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Two procedures are used in the diagnosis of stomach cancer.

• Gastrointestinal (GI) endoscopy is superior because it allows a direct view of the area of concern. The doctor can also take a sample of tissue (biopsy) to confirm the diagnosis.



• Barium studies are also effective in detecting stomach cancers, although they may be less effective in detecting small tumors.
  
  
  • Suspicious areas seen on barium study always require further endoscopic checking.
  
  
  
  • Barium studies may have a major role in screening because they cause less discomfort compared with gastroscopy.


• Once doctors establish the diagnosis, further tests are performed, including the following:
  
  
  • A CT scan of the abdomen
  
  
  
  • Chest x-ray film
  
  
  
  • Nuclear bone scans: These may be helpful in ruling out advanced disease that has spread outside your stomach walls.

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