Prevention is always better than cure. Known major risk factors for hepatic cancer are Alcohol, Smoking, Hepatitis B and C Infection, Fatty liver disease. If we quit alcohol and smoking not only liver cancer risk but we can reduce the risk for so many other cancer also. Hepatitis B & C infection spread from one infected person to another through sexual contact, using infected needles and syringes and through blood and blood products, so by taking precautions these infections can also be prevented. Hepatitis B Vaccine is also available. Fatty liver disease is now emerging as the major cause of liver damage and as a liver cancer risk factor. A major cause of the fatty liver disease is obesity and diabetes. Weight control by means of a healthy lifestyle and good diabetic control can reverse it
Hepatic Cancer Symptoms
The symptoms of Liver cancer are right upper abdomen pain, anorexia, and weight loss. Sometimes patients present with symptoms of chronic liver disease such as hematemesis (blood in vomitus), black colored stools, Abdomen distension due to ascites, jaundice and during the investigation they are found to have chronic liver disease along with Liver cancer.
Hepatic Cancer Screening
Cancer patients survival rate is good if detected and treated at an early stage, In patients of chronic liver disease routine USG and a blood test for alpha fetoprotein level is done every 6 months.These tests can detect cancer at an early stage when the tumor size is small.
Hepatic Cancer Diagnosis
Once Ultrasound suggests a mass lesion in the liver, triple phase CT abdomen. It is done to further delineate the lesion and resectability of cancer. CECT chest is also done for staging purpose
Hepatic Cancer Treatment
Treatment options for liver cancer patients are Surgery, Local ablative procedures, and chemotherapy. Surgery is the preferred one. There are two options in surgery one is liver transplantation and other is liver resection. Liver transplantation is preferred in those patients who have liver cancer on the background of chronic liver disease. The chances of recurrence after liver resection is high in these patients. In 20% of patients liver cancer develops on the background of a normal liver. Liver resection is the treatment of choice in these patients. Local ablative procedures are done when the patient is not fit for surgery and as a bridge to a liver transplant.
Consult Dr Amit jain best Oncosurgeon in Delhi Noida Ghaziabad India NCR for Best Hepatic Cancer Treatment. He is Senior Consultant at Max Hospital Patparganj Delhi and Vaishali Ghaziabad
It is known for its poor prognosis.Nearly more than 25,000 new pancreas cancer patients are diagnosed every year in India. It is 13th most common cancer but 5th most common cause of death due to cancer in India. Without treatment, not more than 15% of patient survive for more than a year. With best treatment possible still less than 15% patient survive more than 5 years.
The pancreas is a vital organ of our body which has got two major functions. Firstly it releases certain enzymes which help in digestion.Second, it releases hormones which maintain blood glucose level.
Pancreas Cancer Risk Factors
Smoking is the most common risk factor. Nearly 75% of patients are chronic smokers and risk equalize to non-smoker after 10 years of quitting it. Alcohol causes the chronic inflammatory condition of the pancreas called chronic pancreatitis which is a risk factor for pancreatic cancer. Recent studies show long term diabetes is also a risk factor. Pancreas cancer in itself can cause diabetes.
Pancreas Cancer Symptoms
During the early stage, the patient is asymptomatic. Pain is a constant feature which is mild to moderate in intensity and localized to the upper abdomen which may radiate to the back. Anorexia and weight loss are common. Cancer located in the head of the pancreas can cause distal CBD obstruction leading to jaundice and Duodenal obstruction leading to vomiting. Tumor located at body and tail region of the pancreas can grow to a large size without any symptom and may present as lump abdomen.
Pancreas Cancer Diagnosis
Ultrasound is the first investigation in patients presenting with an abdominal complaint. When it suggests a mass lesion in the pancreas, CECT abdomen is done to further delineate the mass. Its relation with surrounding structures and any distant lesions.
Pancreas Cancer Treatment
Once CECT abdomen suggests tumor is resectable surgery is the treatment of choice. In the case of a locally advanced tumor, pre-operative chemoradiotherapy is given. The standard surgical procedure done in case of tumor located in the head of the pancreas is Whipple procedure (pancreaticoduodenectomy). If it is located in the distal part distal pancreatectomy with splenectomy is done
Patient with a head tumor can have jaundice. Pre-operative biliary stenting is done if the bilirubin level is very high, the patient has fever and poor general condition with poor nutrition.
Dr Amit Jain Best Pancreas Cancer Surgeon in Max Hospital Patparganj Delhi and Vaishali Ghaziabad. Best Pancreas Cancer Centre in Delhi Noida Ghaziabad
The standard gallbladder stone surgery is the removal of the whole of gallbladder called as cholecystectomy. In gallbladder stone disease whole of the gallbladder is removed, unlike renal stones in which only stones are removed. It may be done by a laparoscopic approach called laparoscopic cholecystectomy or open approach called as open cholecystectomy.
Open Gallbladder stone surgery
Open cholecystectomy is performed only when it is expected that there will adhesions at gallbladder fossa or suspected difficult cases. Still, a trial of laparoscopy can be given in these cases also. Recovery in these patients is late as the length of the incision is more and as compared to laparoscopic cholecystectomy patients is discharged late.
Laparoscopic Gallbladder stone surgery
Gallbladder removal surgery is commonly called as Laparoscopic cholecystectomy as mostly it is done by laparoscopic approach. Laparoscopic surgery is also called as Minimally invasive surgery because of small size incision. Small incisions mean less pain in the post-operative period. It allows early mobilization of the patient and early recovery. Laparoscopic cholecystectomy come under day care surgery. It means if the patient is comfortable in the post-operative period then the patient can be discharged on the same day of surgery.
The standard gallstone surgery is laparoscopic cholecystectomy. Gallstone surgery is done under general anesthesia. Generally, four ports are placed but in the simple gallbladder, without much adhesions, it can be done with three ports also. Surgery duration last from 15 mins to 1 hr. It depends on surrounding adhesion of gallbladder to other structures.Complications of gallstone surgery is rare but includes bleeding and bile duct injury. After 4 hr of surgery, the patient is allowed to have sips of water. The patient is advised to walk and pass urine. Allowed a soft diet on an evening and can be discharged if the patient is comfortable. Next day onwards patient can do all his day to day activities
Know Laparoscopic Surgery by Best Laparoscopic Surgeon Delhi Noida India NCR. Laparoscopic surgery is also called as Minimally Invasive Surgery. It Is called as minimally invasive as the length of incision is very less. Advantage of less incision is less pain in the post-operative period. Minimal pain helps in early ambulation of patient. Chest infection are reduced. Incidence of deep vein thrombosis has decreased after introduction of laparoscopic surgery
Gallbladder Laparoscopic Surgery by Best Laparoscopic Surgeon Delhi Noida India NCR
Laparoscopic Gallbladder surgery is the most common abdomen surgery. Most common indication is Gallbladder stone disease.Surgery is called as Laparoscopic cholecystectomy. Gallbladder cancer surgery called as radical cholecystectomy is also done laparoscopically by advance laparoscopic surgeon
Colo-Rectal Laparoscopic Surgery by Best Laparoscopic Surgeon Delhi Noida India NCR
Colo-Rectal surgery is done most commonly laparoscopically. Commonly benign colo-rectal disease which are done laparoscopically are ileo-cecal tuberculosis,Diverticular disease, Intussusception. Malignant disease are right and left colon cancer and cancer rectum. Surgeries are right and left radical colectomy. Anterior and ultra low anterior resection is done for cancer rectum
Hepato-Biliary Laparoscopic Surgery by Best Laparoscopic Surgeon Delhi Noida India NCR
Most common hepatobiliary surgery done laparoscopically is Common bile duct exploration for CBD stones. Liver resection are also more commonly done by minimally invasive approach
GI Cancer Laparoscopic Surgery by Best Laparoscopic Surgeon Delhi Noida India NCR
Initially Laparoscopic Surgery was introduced for benign GI diseases.Most common benign disease done laparoscopically are cholecystectomy and appendectomy. Now we have sufficient data in literature which support laparoscopic GI Cancer Surgery. Literature says that these patients have same long term survival rate as compared to open surgery
Consult today Dr Amit Jain Best Laparoscopic Surgeon Delhi Noida India for your queries on Laparoscopy surgery. Visit and like our facebook page Dr Amit Jain Laparoscopic GI Cancer and Bariatric Surgeon to have regular updates on Laparoscopic GI Surgery
GERD or Acid Reflux is reflux of gastric contents into the esophagus, It occur when the lower esophageal sphincter which normally prevents reflux of gastric contents into the esophagus is weak
Symptoms of Acid Reflux or GERD
Patient complain of heartburn. Reflux of food content into the esophagus. Patient can have extra-esophageal symptoms such as cough
Diagnosis of Acid Reflux or GERD
Upper GI Endoscopy is the first step which will show features of esophagitis. It will show associated hiatus hernia. The gold standard test is 24 hr pH study. It will show whether there is actual reflex or not. It is very important to confirm
Best doctor for GERD
Best doctor for GERD is Gastroenterologist who is specialized for diagnosis and treatment for GERD or acid reflux
Treatment of Acid Reflux of GERD
Life style modification: It is the first step in treatment.Weight reduction by regular exercise if obese and healthy diet are very important. Patient is advised to have small frequent diet.As there is role of gravity in reflux patient is advised not to lie immediately after meal
Proton pump inhibitors such as pantaprazole which inhibit acid formation are advised. These will give relieve to the symptom of heartburn but it does not prevent reflux . Patients on proton pump inhibitors are predisposed to cancer due to reflux . Upper GI endoscopy is advised to these patients who are on long term on proton pump inhibitors.
Surgery for GERD or Acid Reflux
Surgery is advised to those patients who on investigation are confirmed to have reflux disease. Patients who have extra-esophageal symptoms, young age, defective lower esophageal sphincter. Surgery performed is Laparoscopic Fundoplication.
To know more on acid reflux or GERD consult Dr Amit jain best Gastroenterologist in Noida Delhi Ghaziabad India NCR at Max Hospial Patparganj Delhi and Vaishali Ghaziabad
The mainstay of pancreatic cancer treatment is surgical resection if the tumor is localized and the patient is fit for surgery. The incidence of pancreatic cancer is more in male patients. Smoking and alcohol are two important risk factors for pancreatic cancer. Anorexia and weight loss are important symptom and sign of pancreatic cancer. Patient will have jaundice when pancreas cancer is located at the head of pancreas. Tumor at this site cause compression at lower end of common bile duct and causes jaundice. For locally advanced tumors before surgery chemotherapy is given to make tumor resectable. Surgical procedure done is whipple procedure
What is Whipple procedure
Whipple procedure or WPD or Pancreatico-duodenectomy procedure is done for tumors located around periampullary region like head of pancreas, terminal part of CBD, and nearby duodenal areas, In this procedure gallbladder, distal CBD, Duodenum and head of pancreas are removed, then pancreas duct is anastomosed to jejunum (Pancreatico-jejunostomy), Bile duct is anastomosed to jejunum called as (Hepatico-jejunostomy) and then Gastro-jejunostomy is done
Pancreatic Cancer Treatment stage 4
Stage 4 Pancreatic cancer are metastatic. These patients require palliative therapy for symptoms like jaundice/Vomiting/Pain.There are two methods for palliation one is surgical other is endoscopically. If the patient is fit for surgery and tumor is not advanced surgical palliation is done. For vomiting due to gastric outlet obstruction caused by pancreatic had mass obstructing duodenum Gastro-jejunostomy is done. For jaundice biliary bypass is done most commonly hepatic-jejunostomy.
Non-surgical palliative therapy include Endoscopically Biliary stenting for palliation of jaundice. Most commonly metallic stent is placed as it has got long life compared to plastic stent.Stent is placed in the duodenum for gastric outlet obstruction
The main stay of pancreatic cancer treatment for pain is oral analgesia, Celiac axis block is given under ultrasound guidance for severe pain abdomen not managed by either oral or intravenous analgesia
To know latest pancreatic cancer treatment options visit our facebook page
Consult Dr Amit Jain Best Gastrointestinal Cancer Surgeon Oncosurgeon at Max Hospital Patparganj Delhi and Vaishali Ghaziabad. Best Palliative therapy center in East Delhi Ghaziabad NCR Region
Before knowing pancreatic cancer jaundice treatment it is important to know its cause in pancreatic cancer. Pancreatic mass located in the head of pancreas cause jaundice by direct compression over the CBD. Pancreatic cancer in the body and tail region of pancreas can also cause jaundice by lymph nodal mass causing compression at the hepatoduodenal ligament
Cause of Pancreatic Cancer Jaundice
The terminal part of CBD (Common Bile Duct) passes through the head of pancreas.The cancer located at this part causes external compression on the CBD which leads to jaundice.It is associated with passage of pale colored stools, pruritus, anorexia and weight loss.When patient is investigated for such symptoms he is found to have mass in the head of pancreas with bile duct dilatation
Definitive Surgery for Pancreatic Cancer Jaundice Treatment
If the tumor is resectable high bilirubin level in these patients is not a contraindication for surgery. Pancreatic cancer jaundice treatment in these patients is definitive surgical procedure that is whipple procedure or Pancreatico-duodenectomy
What are indications for Pre-operative biliary drainage in these patients to lower down the bilirubin level. Indications are if the patient have fever/bilirubin level more than 20/ pt not fit for surgery in view of malnutrition. Pre-operative ERC with biliary stenting is done. once the pt is fit for surgery definitive surgery is done
Palliative Surgery for Pancreatic Cancer Jaundice Treatment
If the tumor is found to be unresectable intra-operatively then palliative biliary bypass is done most commonly choledocho-jejunostomy is done. Cholecysto-jejunostomy is also an option in these patients.It is combined with gastro-jejunostomy as these patients have gastric outlet obstruction also
Palliative Endoscopic therapy for Pancreatic Cancer Jaundice Treatment
If the pancreatic cancer is unresectable or metastatic then endoscopic therapy for palliation of jaundice is ERC with biliary stenting. Metallic stent is placed instead of plastic stent which has got long life
Gastrointestinal Cancer Surgeon Oncosurgeon is the one who is specialized in GI Cancer surgery. GI Cancers include Esophagus Cancer, Stomach Cancer, Liver Cancer, Gallbladder Cancer, Pancreas Cancer, Colo-Rectal Cancer
Qualification of Gastrointestinal Cancer Surgeon Oncosurgeon
MCh in GI Surgery is the required qualification for Gastrointestinal Cancer Surgeon Oncosurgeon. Only few institutes in India run programme for MCh degree
Laparoscopic Gastrointestinal Cancer Surgeon Oncosurgeon
Laparoscopic surgery was initially done for benign gastrointestinal diseases. With advance in technology and instrumentation it was further extended for cancer surgery also. Now there is lot of data in literature which suggest that laparoscopic surgery in cancer patients is safe as open surgery. Long term survival rate in cancer patients in laparoscopic surgery is also same as open surgery. GI Cancer surgeon who have special training in Laparoscopic surgery do GI Cancer surgery laparoscopically. Advantages of laparoscopy surgery is early recovery, minimal pain. Most common GI Cancers which are done laparoscopically are Colo-Rectal Cancer.
Division of Gastrointestinal Cancer Surgeon Oncosurgeon
Colo-Rectal Oncosurgeon: These surgeons are super-specialized in Colon and Rectal Cancer Surgery.
Hepato-Pancreato-Biliary Oncosurgeon: These surgeons are trained for liver, pancreas, gallbladder and bile duct cancers.
Upper GI Oncosurgeon: Upper GI organs include esophagus and stomach
Advantages of specialized Gastrointestinal Cancer Surgeon Oncosurgeon
Gastrointestinal Cancer Surgeon who is trained in GI Oncosurgery only is highly experienced for GI Cancers. The volume of surgeries done by him in this field only, make him expert in Gastrointestinal Cancer Surgery. In fact now we have division in GI Surgery also. We have colorectal surgeon who are only doing colorectal cancer surgery and so
To have more knowledge about Gastrointestinal Cancers, there preventions and management contact Dr Amit Jain Best Gastrointestinal Cancer Surgeon & Best Laparoscopic Surgeon who got his training in GI Cancer management at GB Pant Hospital Delhi. Visit our facebook page
Dr Amit Jain is Best Gastrointestinal Cancer Surgeon at Max Hospital Patparganj Delhi and Vaishali Ghaziabad Noida India
What is Pancreas and its role in our body
Pancreatic cancer has increased.Pancreas is digestive organ of our body which has got two major functions.One is endocrine function that is maintenance of blood sugar level by regulating the hormone levels of insulin and Glucagon. Another major function is food digestion by releasing certain important enzymes mainly fat digestion
Pancreatic Cancer Causes
Smoking is the main cause of pancreatic cancer. More than 70% of pancreas cancer patients give history of smoking. Alcohol causes chronic pancreatitis which is a risk factor for pancreas cancer. Hereditary factors
Pancreatic Cancer Symptoms
Anorexia and Weight Loss are common. Pancreas cancer located in the head obstruct the distal CBD and causes biliary obstruction which leads to jaundice. It is Surgical Obstructive Jaundice means patient present with features like pale colored stools, itching. Tumor at this site also causes duodenal obstruction and patient present with features of Gastric outlet obstruction like vomiting. If the pancreas cancer is located distally then most common complaint is anorexia and weight loss. Tumor at this location can enlarge to big size before symptomatic and patient may present with lump abdomen
Pancreatic Cancer Test
When patient present with features suggestive of pancreas cancer then Ultrasound abdomen is the first investigation. Ultrasound can demonstrate mass in the pancreas, dilatation of the biliary tract, pancreatic duct dilatation, any associated lymph nodes and liver metastases if present. If the tumor size is small then it may not be detected on USG then CECT abdomen is done. If the tumor is detected on ultrasound then also CT abdomen is done for tumor staging as CT gives more information than ultrasound
Pancreatic Cancer Prognosis
Pancreas cancer has got very bad prognosis; Its survival rate is poor one of the reason being it is diagnosed at late stage; if we compare stage by stage with other GI Cancer still its survival rate is poor
Prevention of Pancreatic Cancer
Prevention of risk factor such as smoking and alcohol are important steps for pancreas cancer prevention
Gallbladder stone disease is common. Gallbladder stone surgery cost varies from one institute to other. In big corporate hospital it also varies according to room category which patient choose. Single room charge is more compared to sharing room
Clinical features of Gallbladder stone
Most common complain is pain right upper abdomen. Pain is colicky, mild to moderate in intensity and non-radiating. When ultrasound abdomen is done for such complaints gallbladder stones are diagnosed. This is called as symptomatic cholelithiasis.
Complications of gallbladder stone
Acute pancreatitis, jaundice, cholangitis, pyocele gallbladder are common complications. The incidence of complications is independent of the number and size of stones. However it is believed that small stones are more prone for pancreatitis as small stones may pass through cystic duct. Large stones are risk factor for gallbladder cancer
Indication for surgery in Gallbladder stone
Symptomatic cholelithiasis is indication for surgery. It is said once symptomatic the complication rate of gallbladder stone increases. In asymptomatic gallbladder stone also some recommend surgery as morbidity due to gallbladder stone complication is more rather then leaving it
Surgery for Gallbladder stone
Laparoscopic cholecystectomy is the standard surgical procedure for gallbladder stone disease. Most of the patients have a doubt whether whole of the gallbladder or only the stones in the gallbladder are removed. Unlike kidney stones, in gallstones whole of the gallbladder is removed. Gallbladder has already lost its function in gallbladder stone disease
Gallbladder stone surgery cost in India
Cost for Gallstone surgery in India Delhi Noida Ghaziabad NCR varies. It may be between Rs 50,000 to 1,50,000. Cost varies from one hospital such as Max Hospital Patparganj or vaishali or Fortis Hospital and also varies depending on room category
Know more about Gallbladder surgery cost in India or in Delhi NCR through our facebook page. Also know about gallbladder stone pathogenesis, risk factors, diagnosis and treatment