Gallstone disease is a common incidence and it is more common in female. The Standard Laparoscopic Gallbladder Surgery is called Laparoscopic Cholecystectomy. There are no role medications in the treatment of Gallbladder stone.
There are various theories regarding the formation of Gallstone. There is no definitive preventive method.
Gallbladder Stone Diagnosis
The mainstay of gallstone diagnosis is Ultrasound Abdomen. It will detect the number and size of gallstones. Any associated stones in the Common Bile Duct. Thickening in the gallbladder wall.
Gallbladder Stone Treatment
The standard Gallbladder Stone Treatment is surgical removal of the Gallbladder. Unlike kidney stones in which only stones are removed in case of gallstones, the gallbladder is removed. The gallbladder has no major function in our body. Gallbladder which is being removed is already diseased one.
Laparoscopic Gallbladder Surgery
Laparoscopic cholecystectomy is the most common abdominal surgery. It is daycare surgery in which surgery is done in the early morning and the patient can be discharged by the evening.
Dr. Amit Jain MCh Gastrointestinal Surgeon at Max Hospital Patparganj Delhi and Vaishali Ghaziabad is a best laparoscopic surgeon in East Delhi for Gallstone surgery. He has been trained at GB Pant Hospital one of the best GI Surgery Institute in India. He has performed various complex GI Surgery in the last 15 years.
Gallbladder stone disease is common.Ultrasound abdomen is the commonest investigation for any abdomen complaint. The result being the incidence of asymptomatic gallstones is also increasing. Incidence of Gallbladder stones is more in females. There are various theories about formation of gallbladder stones.
Gallbladder Stone Complications
It is said that in 90% of patients the first complaint of Gallstones is right upper abdomen pain. After the first episode the frequency of pain abdomen increases and so the complication rate. In 10% of patients, the first presentation can be one of the complications of Gallbladder Stone. The complications of gallbladder stone include Jaundice/Cholangitis/pancreatitis/Cancer Gallbladder/fistulous communication to nearby organs, when the stone in the gallbladder pass to common bile duct through cystic duct patient can have just jaundice if it simply obstruct the CBD lumen and prevent passage of bile from CBD to duodenum. This obstruction when leads to infection patient will have fever and it is called as cholangitis. Cholangitis is a serious condition and patient may develop septic shock and require urgent biliary drainage.
It is another life threatening complication. Passage of stone lower down causes temporary blockage of pancreatic secretions and can cause. biliary pancreatitis.
Long-standing inflammation anywhere in the body predispose to cancer so in case of Gallbladder Stone. Gallbladder stone is known risk factor for cancer Gallbladder. Incidence of cancer is very minimal. This is not an indication for surgery in asymptomatic gallstone patients.
The stanadard treatment is Laparoscopic Cholecystectomy. Advantage of laparoscopic surgery is less pain and early discharge. It is day care surgery in which patient can be discharged on same day of surgery
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Dr. Amit jain is best General surgeon in Noida, Ghaziabad, Indrapuram, Delhi NCR India for Gallbladder Stone Surgery.
Gallstone disease is common. Incidence is more common in female. The Standard Laparoscopic Gallstone Surgery is called as Laparoscopic Cholecystectomy. There is no role medications in the treatment of Gallstone
There are various theories regarding the formation of gallstone. There is no definitive preventive method
The main stay of gallstone diagnosis is Ultrasound Abdomen. It will detect the number and size of gallstones. Any associated stones in the Common Bile Duct. Thickening in the gallbladder wall
The standard gallstone treatment is surgical removal of gallbladder. Unlike kidney stones in which only stones are removed in case of gallstones gallbladder is removed. Gallbladder has no major function in our body. Gallbladder which is being removed is already diseased one
Laparoscopic Gallstone Surgery
Laparoscopic cholecystectomy is the most common abdominal surgery. It is day care surgery in which surgery is done in the early morning and patient can be discharged by the evening
To know more about Laparoscopic Gallstone Surgery visit our facebook page Dr Amit Jain Laparoscopic Gastrointestinal Cancer & Bariatric Surgeon
Dr Amit Jain is best Laparoscopic Surgeon in Ghaziabad at Max Hospital Vaishali. He completed MCh training in GI Surgery super-specialization at GB Pant Hospital Delhi. It is one of the few institute in India for GI Surgery Programme.
Gallbladder Cancer incidence is more in Northern part of India. It is important to know gallbladder cancer symptoms. If we know these symptoms we may consult to doctor early and have early diagnosis. Early diagnosis and treatment is key for long term survival rate in gallbladder cancer patients.
Gallbladder Cancer Symptoms
The most common Gallbladder cancer symptom is pain localized to right upper abdomen. Anorexia and weight loss are common symptoms as seen in other cancer. Gallbladder cancer patients can present with gastric outlet obstruction symptom that is vomiting. It occur when gallbladder cancer involve gastric antrum or pylorus or duodenum. When cancer involve hilum it can cause biliary obstruction leading to jaundice. This jaundice is called as surgical obstructive jaundice. Its feature are generally it is painless, dark colored urine and pale colored stools. Gallbladder cancer can involve hepatic flexure of colon. When it involve colon patient present with feature of large bowel obstruction like abdomen distension, non-passage of flatus and motion. Metastatic gallbladder cancer present with abdomen distension in the form of ascites.
Gallbladder Cancer Diagnosis
When patient present with gallbladder cancer symptoms first line of investigation is USG whole abdomen. It will detect any mass in the gallbladder or any focal thickening. CECT abdomen is done for local tumor invasion and distant metastases.
The standard treatment is surgery if tumor is resectable. Surgery done is radical cholecystectomy in which Gallbladder is removed along with Liver wedge and lyphadenectomy is done.
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Consult Dr. Amit Jain Best GI Oncosurgeon in East Delhi Noida for any query regarding Gallbladder Cancer. It is important to remember that Gallbladder Cancer prognosis is good if detected early.Do not ignore above mentioned symptoms. Make an appointment for Dr Amit Jain at 7351088686 to know about Gallbladder Cancer Symptoms and Gallbladder Cancer Treatment.
Today is era of Laparoscopic Surgery.Laparoscopic Colorectal Surgery has evolved gradually and nowadays even Colorectal Cancer surgery are also being done Laparoscopicall.
Laparoscopic ColoRectal Surgery for Benign ColoRectal Disease.
There are various benign colorectal diseases which are being done Laparoscopically. Common disease include Appendectomy, Right Hemicolectomy for ileo-cecal tuberculosis, Sigmoidectomy for sigmoid diverticular disease.
Malignancy can involve any part of colon and rectum. Depending on the site of cancer various colectomies are done. These are called as radical colectomy as lymphadenectomy is also done. For rectal cancer anterior resection is done. Initially there was concern of long term survival rate in colorectal cancer patients being operated Laparoscopically. But now we have enough data which says that there is no difference in recurrence rate and survival rate being operated open or laparoscopic approach.
Emergency Laparoscopic ColoRectal Surgery
It Include surgery for large bowel perforation, traumatic large bowel injury and large bowel obstruction.
Advantages of Laparoscopy ColoRectal surgery is early recovery.
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Dr Amit Jain is Best ColoRectal Surgeon in Noida. Trained in GI Surgery at GB Pant Hospital Delhi. Special training in advance laparoscopic GI Cancer Surgery. Got Fellowship in Advance Laparoscopic ColoRectal Surgery.
ColoRectal Cancer incidence is rising.Incidence is more in older age group after the age of 50 year.This cancer has got good prognosis compared to other GI Cancer.
ColoRectal Cancer Symptoms
The most common symptom is altered bowel habits. Fresh Bleeding per rectum is common in rectal cancer. Ascending colon cancer patients may have symptoms of anemia such as weakness. Ascending or Right side colon cancer have a tendency to bleed. Descending or Sigmoid colon cancer patient may present with features of large bowel obstruction. Anorexia and weight loss are common. Advance tumors can have liver metastases and ascites.
The main stay diagnostic tool is colonoscopy. Full length colonoscopy is done as the incidence of synchronous colon cancer is high. Biopsy will confirm the diagnosis.
CECT whole abdomen is done. It will determine the resectability of the cancer. CEA is tumor marker for colon cancer. It is used in follow up after surgery for early detection of recurrence.
The recommended first line of treatment is surgery. Radical colectomy is done.For Cancer Rectum Anterior Resection surgery is done. Neo-adjuvant chemo-radiotherapy is given for locally advanced rectal cancer. Left sided cancer may present with acute large bowel obstruction. Stent can be placed across the obstruction by the Gastroenterologist.
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Consult Dr. Amit Jain Best ColoRectal Surgeon for any query regarding ColoRectal tumor. Its diagnosis and management. Dr. Amit Jain is renowed ColoRectal Surgeon in East Delhi and Ghaziabad. He has done fellowship in Advance Laparoscopic Colorectal surgery.
The main stay of gallbladder cancer treatment is Surgery. However surgery is possible in few patients only as most cases are diagnosed in advance stage
Surgery as Gallbladder Cancer Treatment
The recommended treatment of choice for gallbladder cancer is surgery. CECT abdomen is done which give fine details of gallbladder cancer with surrounding structures which help to decide about the resectability of gallbladder cancer. The standard surgery for gallbladder cancer is radical cholecystectomy. Cystic duct margin is sent for frozen section during surgery. If it is positive then Common bile duct is also excised. After CBD excision a Roux-en-Y Hepaticojejunostomy is done
Chemotherapy for Gallbladder Cancer
Chemotherapy is given either as palliative treatment for metastatic gallbladder cancer. It is also given to down stage the tumor if locally advanced but resectable tumor.
When unresectable gallbladder cancer present with gastric outlet obstruction palliative endoscopic stenting is done. It is done by gastroenterologist.
Gallbladder Cancer Treatment Cost in India
It varies from one hospital to other. It also varies according to patient room category. Generally Cost varies from INR 2 lakhs to INR3.5 lakhs
For more information regarding gallbladder cancer its diagnosis and treatment visit our facebook page Dr Amit Jain Laparoscopic GI Cancer & Bariatric Surgeon
Dr Amit Jain is renowned Gastrointestinal Surgeon in Delhi Noida India NCR with vast experience in management of Gallbladder Cancer Patients. It require a team effort of Best GI Oncosurgeon/GI Oncologist and Good Intervention Radiologist. Best Palliative treatment is Endoscopic approach by best Gastroenterologist
The standard Gallbladder Cancer Surgery is radical cholecystectomy. Incidence of Gallbladder Cancer is more in North India. Most Commonly seen in old age group and incidence is more in females. Prognosis is poor. Early detection and surgery is best for good survival
Symptoms of Gallbladder Cancer
Most common symptom is pain right upper abdomen. Pain is mild to moderate in nature. Anorexia and Weight loss are common.When the tumor is located at Gallbladder Neck it may obstruct the biliary symptom and can cause jaundice
Diagnosis of Gallbladder Cancer
Ultrasound Abdomen is the most common investigation done for pain abdomen. It will show mass or thickening in the gallbladder. CECT abdomen is done for planning gallbladder cancer surgery as it show relation of tumor to surrounding structures, any lymph nodes and distant metastases. Fine needle aspiration cytology is not done. The only indication for FNAC is tumor unresectability when chemotherapy is planned
Gallbladder Cancer Surgery
Main stay of treatment is Surgery if CECT abdomen suggest tumor is resectable. Gallbladder Cancer Surgery is radical cholecystectomy. In this surgery gallbladder is removed along with liver wedge and lymphadenectomy is done. Cystic duct margin is sent for biopsy intra-op. If biopsy comes to be positive then Common Bile duct excision along with Roux-en-Y Hepaticojejunostomy is done
In Advance or metastatic disease palliative therapy is done. Most common symptom that require palliation is pain abdomen and vomittig. Vomitting occur due to involvement of duodenum. Endoscopically stent is placed across the obstruction site
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Dr Amit Jain is world famous Laparoscopic GI Oncosurgeon trained in one of the best GI Surgery Institute GB Pant Hospital Delhi. Done fellowship in advance laparoscopic GI Surgery. Senior Consultant at Max Hospital Patparganj Delhi and Vaishali Ghaziabad one of the best Gallbladder Cancer Surgery Hospital in Delhi Noida India NCR
Colon cancer arises from the inner lining of the large bowel. It can be familial in which there is family history of cancer diagnosed before age of 50 year. It can be hereditary in which there is family history along with other cancer are also present. Sporadic cancer arise in normal risk patients. It is mainly seen after age of 50 years but incidence is increasing in young population also. Screening programme for early detection of colon is recommended at the age of 50 year. Full length colonoscopy is done at this age for detection of cancer or colon polyp
Colon Cancer Symptoms
Altered bowel habit is common. Right sided cancer have a tendency of bleed. Patients with cancer located at this site will have symptoms of anemia. Cancer on left side present with features of intestinal obstruction such as abdomen distension, vomitting. Anorexia and Weight loss are common. Advanced cancer patients may have just abdomen pain and distension due to ascites. Patients with liver mets will have pain right upper abdomen
Colon Cancer Diagnosis
The main stay of diagnosis is colonoscopy. Colonoscopy will tell the site of cancer, any synchronous cancer in the colon, and biopsy taken will confirm the diagnosis. Full length Colonoscopy is must as it will detect synchronous tumor also. There is high incidence of synchronous lesion in colonic cancer patients. Sometimes patient present with intestinal obstruction in which complete colonoscopy cannot be done. In these patients colonoscopy is done 2-3 months post surgery to identify any synchronous lesion in the colon
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Gallbladder stone and Alcohol are two major risk factors for acute pancreatitis. In few cases no cause is identified that is called as idiopathic pancreatitis. Rare causes are toxins, drugs, raised serum calcium level, hypertriglyceridemia., annular pancreas, choledochal cyst
Acute Pancreatitis Symptoms
Pain upper abdomen radiating to back is the most common symptom. Nausea and vomiting are common. Patient may develop respiratory distress and decreased urine output
Acute Pancreatitis Diagnosis
Raised serum and amylase level with typical pain abdomen is sufficient for diagnosis. CECT abdomen is done when there is doubt of diagnosis. If there is no doubt about diagnosis then CECT abdomen is done after 72 hrs of abdomen pain. Pancreatic necrosis if there develop till 72 hrs. CECT also show other peri-pancreatic complications
The main stay of treatment is symptomatic and supportive. I.V fluids and Oxygen therapy is given. Patient is encouraged for oral intake if there is no vomiting. TPN should be started if persistent vomiting. Nasojejunal feed can be started. There is no role for prophylactic antibiotic
Pancreatitis treatment at home
Mild pancreatitis can be treated at home. Patient oral intake should be good. Patient require good analgesia. If patient cannot be managed at home due to excess vomitting and pain then patient should be shifted to hospital where iv fluid supplement can be given
Can Pancreatitis be Cured
Pancreatitis is a self resolving disease which need supportive care. Recurrent episode of pancreatitis can be prevented by treating the cause of pancreatitis
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