Pre-operative Biliary Drainage in Malignant Biliary Obstruction

You are cordially invites for the webinar on “Pre Operative Biliary Drainage”-

Surgical resection in the setting of hyperbilirubinemia or jaundice is associated with higher perioperative morbidity & mortality. Preoperative biliary drainage (PBD) can reduce bilirubin. The purpose of the webinar is to discuss the indications, types of drainage and optimal duration of drainage

Access Code: 772-168-877

https://dramitgisurgeon.com/facility/oncologist/
https://dramitgisurgeon.com/

All About Oesophagus Cancer

The esophagus or food pipe cancer incidence has increased in recent time. The most common risk factors are smoking, alcohol & obesity. The most common symptom is dysphagia or difficulty in swallowing. It is progressive, initially patient complain of difficulty in swallowing for solids which progress  gradually. Most of the patients present to Oncologist when he has complete dysphagia. At this stage, disease is already in advanced stage

When patient complain of dysphagia, they initially present to Gastroenterologist and Upper GI endoscopy is done. It will reveal thickening or growth in the esophagus, biopsy taken from suspicious area will make the diagnosis of cancer esophagus. CECT chest and abdomen is done to stage the disease. PET scan is done to look for distant metastases

Histologically it is of two types, squamous cell carcinoma & adenocarcinoma. Oesophagus is divided into three parts, the upper third, middle third and lower third as far as cancer is concerned. The upper third is squamous cell carcinoma, the other two third can be either adenocarcinoma or squamous cell. In upper third the treatment of choice is chemo-radiotherapy

As these patients present very late, most of these patients have advanced disease. Neo-adjuvant ( before surgery ) chemo-radiotherapy is given in locally advanced disease.

The best treatment of cancer esophagus is surgery. The standard surgical procedure is radical esophagectomy which is done on oncological principle, in which radical lymphadenectomy is also done along with esophagectomy

As esophagus is located in the chest, it is mobilized by minimally invasive laparoscopy approach called as thoracoscopically with very small incisions as compared to previous techniques in which long thoracic incision was given, advantage of minimally invasive approach is that in post-operative period patient will have less pain and can do respiratory exercises and chance of lung complications such as pneumonia or atelectasis is very minimal

After the esophagus is removed, a tube in size of esophagus is prepared using the stomach. This stomach conduit is taken up in the neck through the posterior mediastinum (through original esophagus place) and anastomosed with the normal esophagus in the neck. A feeding jejunostomy is also done

https://dramitgisurgeon.com/facility/gi-surgery/oesophagus-esophageal-disease-problem-doctor-specialist/Esophagus Cancer specialist

Best Oncologist In Noida

Dr Amit Jain is Renowned GI Surgeon in Delhi NCR. He completed MCh in GI Surgery from GB Pant Hospital, one of the few institutes in India providing such degree. He is trained Laparoscopic GI Oncosurgeon. Now most of the GI Cancer surgery are being done laparoscopy. He is best Oncologist in Noida NCR. Call 7351088686 for appointment

Best Oncologist India

What Are Incidental Gallstones

Asymptomatic Gallstones are gallstones which does not cause any symptoms. These are found incidentally during routine ultrasound abdomen. Literature suggest that complication rates are very less, and these can be left alone unless symptomatic. Most of the Oncologist also believe that incidence of Gallbladder cancer due to incidental gallstones is very rare and is not an indication for surgery. However once cholecystitis develop it should be removed after consultation with Laparoscopic Surgeon

Asymptomatic Gallstones

International NASH Day 2020

Fatty liver disease is the most common ultrasound findings in present era, done for any abdomen complaints. This may be due to increase in obesity and decreased physical activity. Most Oncologist says that Fatty liver will be the leading cause of liver cancer in future. The aim to celebrate this day is to raise awareness about this silent liver killer disease. Most Hepatologist suggest that best treatment is its prevention

International NASH Day