Know Your Queries on Liver Disease by Gastric Oncologist Dr Amit Jain on World Liver Day
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Esophageal Cancer: Diagnosis & Treatment
Esophageal Cancer Diagnosis
Upper GI Endoscopy is done by gastroenterologist and is the investigation of choice. It will show growth or stricture in the esophagus. Biopsy will confirm the diagnosis. Most common type of esophagus carcinoma is adenocarcinoma located in the lower third of esophagus. Squamous cell carcinoma is other type and mainly found in the upper and middle third of esophagus
Investigations
CECT Chest and upper abdomen is done.CECT will show the growth in the esophagus, its relation with surrounding structures, any associated lymph nodes, and metastases. It helps in planning of Esophagus Carcinoma Treatment
Treatment
The recommended first line Esophagus Cancer Treatment is surgery if cancer is resectable. For locally advance tumor pre-operative chemotherapy is given by medical oncologist.If patient respond to chemotherapy and tumor become resectable surgery is done. For metastatic disease endoscopic esophageal stent is placed for relief of dysphagia. If endoscopic stenting is not possible feeding jejunostomy is done surgically for nutrition
Gallbladder Stone Treatment
The standard Gallbladder stone treatment is gallbladder removal called as cholecystectomy. It is called as laparoscopic cholecystectomy as mostly it is done laparoscopically
Patient Preparation
As it is an elective procedure all routine lab investigations are done. Pt require Chest-X ray and ECG. Pre-Anesthetic check up is done. Patient require fasting for 6hr before surgery. Avoid hypogylcemic drug on day of surgery. Continue anti-hypertensive drug and thyroxine tablet on day of surgery with sips of water
Surgical Procedure
Done mostly through four ports, but if there are no so much adhesions it can be done through three ports.Camera port is inserted by laparoscopic surgeon. Under vision other ports are placed. Adhesionolysis is done if present. Cystic duct and artery dissected, clipped and divided.Gallbladder is dissected out. Gallbladder is extracted. Bile and stone spillage is avoided
Post-op Recovery
Patient is allowed orally four hrs after surgery, starting from liquids and gradually increased to normal diet. Patient is encouraged to walk
Best Oncosurgeon Delhi
Dr Amit Jain is Oncosurgeon in Delhi NCr, Senior Consultant Department of GI Surgery, GI Oncology, Minimally Invasive and Bariatric Surgery at Max Hospital Patparganj Delhi and Vaishali Ghaziabad. He completed MBBS from KMC Mangalore and completed his basic training in Masters of Surgery from Gandhi Medical College, Bhopal; after that he pursued his desire to learn and expand his surgical understanding in the field of GI Surgery and completed MCh (GI Surgery) from GB Pant Hospital New Delhi ; After that he worked as an Assistant Professor in the Department of GI Surgery at Dayanand Medical College Ludhiana; He has over a decade of rich professional experience in his field both surgical and academics. He has performed various complex GI surgical procedures in the past 10 years. He expertise in managing hepatobiliary and pancreatic cancers, Gastro-esophageal cancer, cancers of colon and rectum, pouch surgeries for ulcerative colitis and Bariatric Surgery. He has been associated with various surgical societies in India such as Life membership of Association of Surgeons of India, Indian Association of Surgical Gastroenterology, Indian Association of Gastro Endoscopic Surgeon; Indian association minimally invasive surgery, Obesity society surgeon of India. He is Best Gastrologist NCR
Special Interest
Laparoscopic GI Onco Surgery
Hepato Pancreatico Biliary Surgery
Bariatric Surgery
Qualification
MCh (Surgical Gastroenterology) from GB Pant Hospital, University of Delhi (2013).
MS (General Surgery) from Gandhi Medical College and associated Hamidia Hospital Bhopal M.P.
MBBS Kasturba Medical College Mangalore Manipal University Karnataka 2003.
Experience
GI, Hepatobiliary and Liver Transplant Surgeon at ILBS, New Delhi.
Assistant Professor GI, Hepatobiliary Department at DMC Ludhiana.
GI, Hepatobiliary and Bariatric Surgeon at Nayati Hospital Mathura.
GI, Hepatobiliary and Bariatric Surgeon at Jaypee Hospital Noida.
Fellowship
Fellowship Minimal Access Surgery (FMAS)
Fellowship Advanced Laparoscopic Upper GI Surgery (FALS-UGI)
Fellow of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Membership
The Association of Surgeons of India (32648)
Indian association of Surgical Gastroenterology (J-52)
Indian Association of Gastrointestinal Endo Surgeons (6159)
Association of Minimal Access Surgeons of India (7915)
The Association of Colon & Rectal Surgeons of India (1245)
Obesity and Metabolic Surgery Society of India (LM444)
International Federation for the Surgery of Obesity & Metabolic Disorders (LM444)
Dr Amit Jain is Best Laparoscopic Surgeon in Noida Delhi NCR. Call us at 7351088686 for your queries
Surgical Treatment of Colon Cancer
The standard surgical treatment of colon cancer is radical colectomy. Colon is divided into four parts, ascending or right colon, transverse colon, descending or left colon and sigmoid colon. Depending on location of cancer respective colectomy is done. After colonic resection depending on patient nutrition status and tumor burden either anastomosis is done or stoma is created. Minimal 12 lymph nodes is the criteria for adequate lymadenectomy for colon canecr has been recommended. If the number of lymph nodes resected is less than 12 then the patient need adjuvant chemotherapy irrespective of staging on histopathology report
Colon cancers are being operated more frequently laparoscopically by Colorectal Surgeon. The length of incision in laparoscopic surgery is very minimum as compared to open surgery. Minimal incision cause less pain in the post-op period, allow early mobilization of patient and early recovery
GallBladder Cancer Symptoms
The most common Gallbladder cancer symptom is pain localized to right upper abdomen. Anorexia and weight loss are common symptoms as seen in other cancer. Gallbladder cancer patients can present with gastric outlet obstruction symptom that is vomiting. It occur when gallbladder cancer involve gastric antrum or pylorus or duodenum. When cancer involve hilum it can cause biliary obstruction leading to jaundice. This jaundice is called as surgical obstructive jaundice. Its feature are generally it is painless, dark colored urine and pale colored stools. Gallbladder cancer can involve hepatic flexure of colon. When it involve colon patient present with feature of large bowel obstruction like abdomen distension, non-passage of flatus and motion. Metastatic gallbladder cancer present with abdomen distension in the form of ascites.
Best Laparoscopic Surgeon Ghaziabad
Dr Amit Jain is Laparoscopic Surgeon in Ghaziabad, Senior Consultant Department of GI Surgery, GI Oncology, Minimally Invasive and Bariatric Surgery at Max Hospital Patparganj Delhi and Vaishali Ghaziabad
He completed MBBS from KMC Mangalore and completed his basic training in Masters of Surgery from Gandhi Medical College, Bhopal; after that he pursued his desire to learn and expand his surgical understanding in the field of GI Surgery and completed MCh (GI Surgery) from GB Pant Hospital New Delhi ; After that he worked as an Assistant Professor in the Department of GI Surgery at Dayanand Medical College Ludhiana; He has over a decade of rich professional experience in his field both surgical and academics.
He has performed various complex GI surgical procedures in the past 10 years. He expertise in managing hepatobiliary and pancreatic cancer, Gastro-esophageal cancer, cancers of colon and rectum, pouch surgeries for ulcerative colitis and Bariatric Surgery.
He has been associated with various surgical societies in India such as Life membership of Association of Surgeons of India, Indian Association of Surgical Gastroenterology, Indian Association of Gastro Endoscopic Surgeon; Indian association minimally invasive surgery, Obesity society surgeon of India.
Special Interest
Laparoscopic GI Onco Surgery
Hepato Pancreatico Biliary Surgery
Bariatric Surgery
Qualification
MCh (Surgical Gastroenterology) from GB Pant Hospital, University of Delhi (2013).
MS (General Surgery) from Gandhi Medical College and associated Hamidia Hospital Bhopal M.P.
MBBS Kasturba Medical College Mangalore Manipal University Karnataka 2003.
Experience
GI, Hepatobiliary and Liver Transplant Surgeon at ILBS, New Delhi.
Assistant Professor GI, Hepatobiliary Department at DMC Ludhiana.
GI, Hepatobiliary and Bariatric Surgeon at Nayati Hospital Mathura.
GI, Hepatobiliary and Bariatric Surgeon at Jaypee Hospital Noida.
Fellowship
Fellowship Minimal Access Surgery (FMAS)
Fellowship Advanced Laparoscopic Upper GI Surgery (FALS-UGI)
Fellow of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Membership
The Association of Surgeons of India (32648)
Indian association of Surgical Gastroenterology (J-52)
Indian Association of Gastrointestinal Endo Surgeons (6159)
Association of Minimal Access Surgeons of India (7915)
The Association of Colon & Rectal Surgeons of India (1245)
Obesity and Metabolic Surgery Society of India (LM444)
International Federation for the Surgery of Obesity & Metabolic Disorders (LM444)
Dr Amit Jain is Best Oncosurgeon in Ghaziabad, Call us at 7351088686 for your queries
Laparoscopic Surgeon Delhi
Dr Amit Jain is Laparoscopic Surgeon in Delhi, Senior Consultant Department of GI Surgery, GI Oncology, Minimally Invasive and Bariatric Surgery at Max Hospital Patparganj Delhi and Vaishali Ghaziabad
He completed MBBS from KMC Mangalore and completed his basic training in Masters of Surgery from Gandhi Medical College, Bhopal; after that he pursued his desire to learn and expand his surgical understanding in the field of GI Surgery and completed MCh (GI Surgery) from GB Pant Hospital New Delhi ; After that he worked as an Assistant Professor in the Department of GI Surgery at Dayanand Medical College Ludhiana; He has over a decade of rich professional experience in his field both surgical and academics.
He has performed various complex GI surgical procedures in the past 10 years. He expertise in managing hepatobiliary and pancreatic cancer, Gastro-esophageal cancer, cancers of colon and rectum, pouch surgeries for ulcerative colitis and Bariatric Surgery.
He has been associated with various surgical societies in India such as Life membership of Association of Surgeons of India, Indian Association of Surgical Gastroenterology, Indian Association of Gastro Endoscopic Surgeon; Indian association minimally invasive surgery, Obesity society surgeon of India.
Special Interest
Laparoscopic GI Onco Surgery
Hepato Pancreatico Biliary Surgery
Bariatric Surgery
Qualification
MCh (Surgical Gastroenterology) from GB Pant Hospital, University of Delhi (2013).
MS (General Surgery) from Gandhi Medical College and associated Hamidia Hospital Bhopal M.P.
MBBS Kasturba Medical College Mangalore Manipal University Karnataka 2003.
Experience
GI, Hepatobiliary and Liver Transplant Surgeon at ILBS, New Delhi.
Assistant Professor GI, Hepatobiliary Department at DMC Ludhiana.
GI, Hepatobiliary and Bariatric Surgeon at Nayati Hospital Mathura.
GI, Hepatobiliary and Bariatric Surgeon at Jaypee Hospital Noida
Fellowship
Fellowship Minimal Access Surgery (FMAS)
Fellowship Advanced Laparoscopic Upper GI Surgery (FALS-UGI)
Fellow of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
Membership
The Association of Surgeons of India (32648)
Indian association of Surgical Gastroenterology (J-52)
Indian Association of Gastrointestinal Endo Surgeons (6159)
Association of Minimal Access Surgeons of India (7915)
The Association of Colon & Rectal Surgeons of India (1245)
Obesity and Metabolic Surgery Society of India (LM444)
International Federation for the Surgery of Obesity & Metabolic Disorders (LM444)
Dr Amit Jain is Best GI Surgeon in Delhi. Call us at 7351088686 for your queries
Heartburn: Symptoms/Causes/Treatment
Heartburn Symptoms
It is a burning type chest pain usually lower chest caused by gastric reflux which causes bitter or acidic taste in the mouth, depending on gastric reflux contents. Most common symptoms seen by gastroenterologist in clinical practice
Cause of Heartburn or GERD Cause
It occur when lower esophageal sphincter is not tight enough to prevent reflux of gastric contents. Associated sliding hiatus hernia aggravates the problem.
Heartburn Treatment/Heartburn Home Remedy/ Heartburn Remedies
Healthy diet with limited fat
Avoid smoking and alcohol
Reduce weight and regular exercise
Avoid lying down immediately after food intake
Small frequent meal
Medicines available for treatment of heartburn are proton pump inhibitors which include pantocid/rabeprazole. Should be taken on empty stomach
Acid reflux foods to avoid: Ceratin foods and drinks can aggravate heart burn. Drinks and food which increase risk include: Alcohol, Coffee, Fried or fatty foods, chocolate, onions, spicy foods
Complications of Gallbladder Surgery
Gallbladder Surgery is most common abdominal surgery. It is called as laparoscopic cholecystectomy as mostly it is done laparoscopically. Symptomatic gallbladder stone disease is most common indication for gallbladder surgery. The incidence of complications of laparoscopic cholecystectomy has decreased. The gallbladder Surgery complications include
Bleeding
It occur due to injury to blood vessels. Whenever there is bleeding intra-operatively dont be panic. Introduce a gauze piece inside the abdomen.Applying pressure at the bleeding site by gauze piece is first step. Small venous injury stops after packing only. Field should be cleared and after proper visualization bleeding point should be identified and either cauterized or clipped should be applied. Immediately convert to open surgery if bleeding is not controlled laparoscopically.
Bile duct Injury
The bile duct injury incidence has been decreased after the learning curve of laparoscopic surgery. It occur when there is dense adhesions at gallbladder fossa. It should be converted to open surgery in such difficult cases. Dissection should be done close to the gallbladder. Convert to open whenever intraop there is doubt of bile duct injury. If it cannot be managed then put a drain and patient should be referred to higher centre
Injury to Bowel
Due to recurrent inflammation bowel get adhered at gallbladder fossa especially in cases of chronic cholecystitis. Most commonly injured organs include pylorus and duodenum. Another common site of injury is Hepatic Flexure. In post-op period if recovery is not smooth and Common Bile duct is normal a high suspicious of bowel injury should be suspected and CECT abdomen should be done
Consult Dr Amit Jain Best Laparoscopic Surgeon for Laparoscopic Surgery. Call us at 7351088686. Visit us at http://www.dramitgisurgeon.com
Dr Amit Jain MS MCh Laparoscopic GI Surgeon 