📍 Whitefield, Bengaluru
HOD & Senior Consultant · Surgical Oncology
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Home/PIPAC/Gastric & Colorectal Cancer
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PIPAC patient guide

PIPAC for Gastric, Colorectal and Appendiceal Peritoneal Metastases

Questions answered on this page

1. Can PIPAC treat peritoneal metastases from gastric cancer?

PIPAC has been used for gastric cancer with peritoneal metastases, usually combined with systemic chemotherapy, and in a minority of patients it has been followed by surgery, although its benefit remains under investigation.

Peritoneal spread is common and difficult to treat in stomach cancer, so PIPAC is a frequent focus of research. Outcomes depend on disease extent and how well the cancer responded to earlier treatment.

2. Can PIPAC treat colorectal and appendiceal peritoneal metastases?

PIPAC with oxaliplatin may be considered for colorectal and appendiceal peritoneal metastases, particularly when disease has progressed on chemotherapy or is not suitable for cytoreductive surgery with HIPEC.

When peritoneal disease is limited and can be removed completely, cytoreductive surgery with HIPEC generally remains the established option at expert centers. PIPAC is usually considered for wider or recurrent disease.

Important medical notice. This content is for general education and does not replace advice from your oncologist or surgeon. PIPAC availability, drug regimens, eligibility and evidence differ between countries and centers, and many uses remain investigational. Speak to a qualified multidisciplinary cancer team about your own situation.

Have questions about PIPAC? Talk to a surgical oncologist.

Book a consultation or request a second opinion with Dr Ashwin K.R.