The term incidental gallbladder cancer means when gallbladder cancer is detected on histopathology following either Laparoscopic cholecystectomy or open cholecystectomy. It carries a good prognosis as gallbladder cancer detected like this are of early stage. Completion radical cholecystectomy is performed in these patients as early as possible
Missed Gallbladder Cancer
When there is doubt of Gallbladder cancer pre-operatively and these patients are not further investigated for same and on histopathology gallbladder cancer is detected it is termed as missed gallbladder cancer. The term missed gallbladder cancer also applies when gallbladder specimen after removal is not cut intra-op and its mucosa is not examined and histopathology comes out to be Gallbladder Cancer
Incidental Gallbladder Cancer Treatment
Once diagnosed to have gallbladder cancer on biopsy report further treatment depends on stage of cancer. Beyond T1a stage
How to prevent acid reflux naturally is most common question by patients who suffer from acid reflux.The best doctor to answer the question how to prevent acid reflux naturally is gastroenterlogist. Incidence of reflux disease has increased.The main cause is change in lifestyle.Physical inactivity and obesity are the main cause of increased incidence. In long term reflux disease is risk factor for esophagus cancer.Best way of reflux disease is prevention. Here are some of ways we can prevent reflux disease
Increased incidence of obesity is the main cause of GERD. Obesity causes GERD in many ways. Pressure on the stomach by excess belly fat, increase in estrogen and development of hiatus hernia
Dietary Modifications to prevent acid reflux naturally
Avoid fatty food, spicy foods, chocolate,coffee, acidic foods like citrus. Eat frequent small meal. Large meals fill the stomach and put pressure on the LES, making reflux and GERD more likely.
Don’t lie down immediately after eating: Gravity normally helps keep acid reflux from developing. With full stomach on lying down acid more easily presses against the LES and flows into the esophagus.
Elevate your bed at Head End Side: This works on the principle of gravity, raising the head end of the bed allow gastric acid down in the stomach because of gravity; just extra pillows does not help much
A number of medications increase risk of GERD. Medications cause reflux by relaxing the LES or further irritating an already inflamed esophagus . Examples include Non-steroidal anti-inflammatory drugs, or NSAIDs, Calcium channel blockers (often used to treat high blood pressure), Certain asthma medications, including beta-agonists like albuterol, Potassium, Iron tablets
Quit smoking and Alcoho
Nicotine and Alcohol relax the muscles of lower esophageal sphincter
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Fatty liver is accumulation of fat in the liver; Fatty liver is the most common USG finding done for abdomen complain. In long term it can cause liver damage. The main causes are obesity, diabetes, alcohol intake and hyperlipidemia. It will be the main cause of liver failure in next decade
Symptoms of Fatty Liver
Liver is vital organ of our body with so many functions. Small amount of fat is normal in the liver leading but excessive amount can damage the liver and hamper its function. Simple Fatty liver does not cause any symptom but if it progress to second stage liver damage that is liver inflammation medically called as steatohepatitis patients may develop symptoms such as loss of appetite, weight loss, pain abdomen and fatigue and if not taken care at this stage it may progress to chronic liver damage and have symptoms of liver failure such as jaudice, bleeding from GI tract, ascites, confusion and so on
Liver function tests may be deranged but these does not confirm. Ultrasound abdomen and CT scan can detect fat but the severity of injury is determined by Liver biopsy
The first line recommended treatment is to reduce risk factors such as avoiding alchol intake, reduce weight, control diabetes. Regular exercise and healthy food is enough for further progress of this disease. there is no proven role of any medication .If liver damage reach to last stage of chronic liver disease with cirrhosis then only option remains is liver transplantation
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It is the most common finding in ultrasound abdomen done for any reason. Earlier it was thought to be a benign condition but now it has been proven that if not treated at early stage it can lead to chronic liver disease and finally liver failure. plz like and visit our face book page to know more about it
Gallbladder stones 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
Complications of Gallbladder stones
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 stones 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
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Dr Amit Jain is currently working as Senior Consultant at the Department of GI Surgery, GI Oncology, Minimally Invasive and Bariatric Surgery at Max Hospital Patparganj & Vaishali. He is advance laparoscopic Gastrointestinal Surgeon. He specialize in Hepato-pancreato-biliary surgery and has special interest in Bariatric surgery
Qualifications of Dr Amit Jain
He passed his MBBS from Kasturba Medical College in Mangalore. He completed his MS in General Surgery from Gandhi Medical College Bhopal. Done MCh in GI Surgery from GB Pant Hospital Delhi one of the best institute in India.
He has worked as Senior Resident at ILBS Hospital Vasant Kunj New Delhi. After his MCh he joined as Assistant Professor in the department of GI Surgery at Dayanand Medical College Ludhiana.