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Gallbladder Cancer Oncologist

Cancer Doctor or Oncologist for Gallbladder Cancer

Gallbladder Cancer Management is team work of GI Oncosurgeon, GI Oncologist, Gastroenterologist and Intervention radiologist.Once patient is diagnosed to have gallbladder cancer further management depend on pre-operative staging of the cancer

  • Role of GI Oncosurgeon in Gallbladder Cancer Management
oncologist
Gallbladder Cancer

If the tumor is resectable, first line of management is surgery. The standard surgical procedure performed for gallbladder cancer is radical cholecystectomy. In this surgery gallbladder is removed along with liver bed and lympadenectomy is done. Staging laparoscopy is first step. There is high incidence of metastases which are missed on pre-operative imaging, which can be detected on staging laparoscopy and morbidity of long incision can be avoided

  • Role of GI Medical Oncologist in Gallbladder Cancer Management

If the cancer is metastatic on imaging then palliative chemotherapy is given. For locally advance cancer but not metastatic pre-operative chemotherapy is given to downstage the tumor and make it resectable.Once cancer seems resectable surgery is done
Chemotherapy is given in the post-op period if the tumor is beyoned certain stage

  • Role of Gastroenterologist in Gallbladder Cancer Management

Patients who are not surgical candidates either because tumor is locally advanced or metastatic or poor peformance status, these patients if have jaundice or vomitting require endoscopic palliation. Jaundice occur when the tumor compress the biliary system and vomitting occur either due to antro-pyloric or duodenal obstruction. Endoscopic Biliary and duodenal stenting is done in these patients. Jaundice and vomitting are relieved after stenting in these patients

  • Role of Intervention Radiologist in Gallbladder Cancer Management

There role comes when palliative endoscopic biliary stenting is not possible because there is complete blockage of biliary system. In these patients percutaneous transhepatic biliary drainage is done to relief jaundice

Consult Dr Amit Jain best GI Oncosurgeon for Gallbladder Cancer Treatment

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