Dedicated to care of patients with evidence based medicine

Multispeciality Gallbladder Cancer Management

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 in Delhi NCR for Gallbladder Cancer Treatment. Call us at 7351088686 for your queries

Please follow and like us:
0

Gallbladder Cancer Risk Factors: Are You

All Cancers have some risk factors. Some can be changed such as alcohol,obesity and smoking. Some cannot be changed like family history and age. Most of the gallbladder cancer risk factors are non-modifiable. Having a risk factor does not indicate that definitely patient will get cancer and few patients develop cancer without any risk factor
But definetly presence of risk factors increases the chances of getting cancer. Various gallbladder cancer risk factors have been identified

  • Gallstones: Common Among various Gallbladder Cancer Risk Factors

Among many gallbladder cancer risk factors one is gallbladder stones. More than 70% of patients with gallbladder cancer have gallstones when they’re diagnosed.The incidence of gallbladder cancer is rare as compared to gallstones as most patients with gallbladder stones will never have gallbladder cancer

  • Porcelain gallbladder

It is a condition where gallbladder wall is covered with deposits of calcium.Can occur after chronic cholecystitis or long term inflammation of the gallbladder

  • Female gender

The incidence of gallbladder cancer is more in females as compared to men.It may be correlated with increased incidence of gallstones and inflammation in the gallbladder in females

Gallbladder Cancer Risk Factors
Gallbladder Cancer Risk Factors
Obesity

It has been found that gallbladder cancer patients are obese or overweight. Gallstones are also more common in obese patients which may also explain the high risk for gallbladder cancer in these patients

  • Older age

As most cancer develop in old age same with gallbladder cancer.But incidence is increasing in young population also. In this age group it has been found that gallbladder cancer is more aggressive. Reason may be dietary and life style change

  • Ethnicity and geography

Worldwide, Incidence of gallbladder cancer is more in Central America, Pakistan and India. In India it is more common in North as compared to south

  • Choledochal cyst

These are cystic dilatation of biliary channels which are congenital

  • Gallbladder polyps

The incidence of Gallbladder cancer is more in gallbladder polyps which are more than 1cm in size, single polyp and sessile

Dr Amit Jain MCh Best Oncosurgeon in Noida

Please follow and like us:
0

Enjoy this blog? Please spread the word :)