Esophagus is food pipe that connects from mouth to stomach or in other words it carries food from the mouth to the stomach. Esophagus cancer incidence is increasing. The length of esophagus is divided into three parts upper third, middle third and lower third
Esophagus Cancer Causes
Cause of lower third cancer is obesity and GERD. Histologically lower third cancer is adenocarcinoma. Cause of middle and upper third cancer is smoking and alcohol. Histologically it is squamous cell carcinoma
Cancer causes obstruction to the passage of food bolus. The most common symptom these patients complain is dysphagia that is difficulty in swallowing food. These patients adapt there food intake, when they have dysphagia to solid food they start eating soft diet and when narrowing does not allow soft diet they start taking liquid diet the most common presentation. Anorexia and weight loss are common symptom. In advanced cancer patient can have pain over the bone, hoarseness in the voice
Upper GI endoscopy is the main diagnostic tool. when patient present with complain of dysphagia the first investigation to be done is upper GI endoscopy. Biopsy taken at this time proves the diagnosis. CECT chest and abdomen is done for the staging.PET Scan is done in the selected cases only
The main stay of treatment of esophagus cancer is surgery. For this tumor should be resectable and patient should be fit. In locally advanced tumor before surgery chemo-radiotherapyis given. In metastatic disease palliation is required. As the main symptom is dysphagia esophagus stenting is done. This is done by upper GI endoscopy. If this is not possible feeding jejunostomyis done
Know more about Esophagus Cancer
Plz visit and like our facebook page to know recent treatment modalities in the field of esophagus cancer. Various risk factors/preventive methods/diagnostic tools
The most common cause of acute pancreatits are alcohol intake and the gallbladder stone. When acute pancreatitis is caused by biliary stones it is called as biliary pancreatitis. Biliary pancreatitis management involve team work of critical care doctor, Gastrophysician, GI surgeon & intervention Radiologist
Clinical Features of Pancreatitis
Patients present with features of acute pancreatitis like severe acute abdomen pain radiating to back; Investigations show increased serum amylase and Lipase level with deranged Liver function tests (LFT)
Biliary pancreatitis management is supportive. To know the status of Common bile duct MRI/MRCPabdomen is done. Mostly stone has passed through the Common bile duct into the duodenum. If the MRI/MRCP show stone in the common bile duct then patient require ERCP and CBD stone clearance. If the patient condition is not stable and is in cholangitis/septic shock ERCP is done on urgent basis otherwise ERCP is done on elective basis once pancreatitis settle.
The Gallbladder is removed during same hospitalization in mild biliary pancreatitis management with no associated fluid collection as gallstone is the cause and is the source and if not removed patient may again develop pancreatitis. Cholecystectomy is advised after 4 weeks in moderate and in severe biliary pancreatitis management as if some comlications of pancreatitis requiring intervention, that can also be done at same time. Indications for surgery for pancreatitis remains the same such as infected pancreatic necrosis. Pancreatic necrosectomy should be delayed and ideally should be done after 4 weeks of episode.
Know more on Pancreatitis
Pancreatitis disease is common with very high morbidity and mortality rate. Alcohol is the most common culprit and should be avoided. Dr Amit Jain with his advance laparoscopic approach is specialize to do pancreatic necrosectomy with minimally invasive approach which has got low morbidity and mortality. To have regular update about this topic plz visit and like our face book page
The term incidental gallbladder cancer means when gallbladder cancer is detected on histopathology following eitherLaparoscopic cholecystectomy oropen 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 canceris 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 completion radical cholecystectomyis done
Visit our facebook page to know more about incidental gallbladder cancer. Consult Dr Amit Jain Best Oncologist in Delhi NCR, trained in Advance Laparoscopy Gastrointestinal Cancer Surgery for GI Malignancy. Currently He is working as Senior Consultant in Dept of GI Surgery at Max Hospital Patparganj Delhi and Vaishali Ghaziabad
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 esophageal 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 Alcohol
Nicotine and Alcohol relax the muscles of lower esophageal sphincter
Know more on GERD
To know more on GERD and various other gastrointestinal problems visit and like our facebook page
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 disease 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 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 liver cancer and 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 isliver transplantation
Know more about fatty liver
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