#liver surgeon Liver Cancer surgical gastroenterologist in Surat

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Fighting Liver Cancer: Be Alert; Be Proactive

According to the World Cancer Research Fund (WCRF), liver cancer is the sixth most common cancer worldwide. If categorized by gender, the cancer is the fifth most commonly occurring cancer in men and ninth in women. If you consider 2018, an astounding 8,40,000 new cases were registered across the world. It is essential that we pay attention to liver cancer, spread awareness and learn ways to reduce the risk factors that can cause the disease. Let’s begin by understanding the functions of the liver.

Liver: Why is it one of the Most Essential Organs of the Human Body?

Liver is the largest internal organ of the body. It is situated on the upper-right side of the abdomen. Hundreds of essential functions of the human body are associated with the liver. Along with gallbladder and pancreas, it performs an important function of digesting, absorbing and processing whatever food you consume. The liver helps in the production of bile to eliminate waste. It regulates the chemicals in the blood, processes and detoxifies it. It metabolizes the drugs and produces cholesterol and special proteins that help in blood clotting.

Liver Cancer: Learn the Details

The liver is made up of several types of cells and so, different tumors can form in the liver cells. Some tumors can be benign (non-cancerous) and others can be cancerous. Now, when it comes to cancerous tumors in the liver there are divided into two main types:

1. Primary Liver Cancer - A cancer that begins in the liver cells, mainly, is called primary liver cancer. Types of primary liver cancer include hepatocellular carcinoma (HCC), intrahepatic cholangiocarcinoma, hepatoblastoma, etc.

2. Secondary Liver Cancer – Metastatic liver cancer is one which did not start from the liver but has spread to the organ.

Primary liver cancer is very common in underdeveloped countries and that’s what needs our attention today.

What Causes Liver Cancer (Hepatocellular Carcinoma)?

Let’s take a look at the factors that increase the risk of Hepatocellular Carcinoma (HCC) in the human body:

1. Gender: HCC is more common among males than in females. However, the fibrolamellar subtype of HCC is more visible in females.

2. HBV/HCV: Chronic infection of Hepatitis B (HBV) or Hepatitis C (HCV) increases the risk of liver cancer in the human body.

3. Cirrhosis: The disease damages liver tissue and scars them irreversibly. Cirrhosis increases the chances of liver cancer.  

4. A few types of liver diseases such as hemochromatosis and Wilson's disease can increase the risk of HCC.

5. Non-alcoholic fatty liver disease, high blood sugar, etc. can also put you at risk.

6. Excessive consumption of alcohol, tobacco and long-term use of anabolic steroids.

7. Being overweight/obese can also increase the chances of liver cancer.

8. Exposure to aflatoxins can increase the risk of liver cancer.

Are there any Clear Symptoms of Liver Cancer?

1. Unexplained weight loss 2. Loss of appetite 3. Nausea or vomiting 4. Enlarged liver or spleen 5. Abdominal pain or swelling in the belly 6. Abdominal bruising and bleeding 7. Itching 8. Jaundice 9. White chalky stools, etc.

Please remember that the above-mentioned symptoms are not exclusive to liver cancer. If you have the symptoms, it doesn’t mean that you have liver cancer. However, none of the symptoms of digestive distress should be taken lightly because these underlying problems can be a sign of a bigger issue. If you have a couple of symptoms that manifest the existence of liver cancer, visit an experienced GI surgeon/liver surgeon immediately. The doctor will order a few tests including blood tests, liver function tests, kidney function tests, CT-scan MRI, ultra-sounds, Angiography, biopsy, etc.

Liver Cancer: The Course of Treatment

If liver cancer is confirmed by your surgical gastroenterologist, he will suggest a treatment depending on the type of cancer and the stage of disease. Your treatment may include:

1. Curative Treatment: Treatment that includes procedures and surgeries to overcome the disease.

a. Hepatectomy (Liver Resection) b. Liver Transplantation c. Radiofrequency Ablation (RFA)

2. Palliative Treatment: It focuses on offering relief to terminally-ill patients.

a. TACE/TARE – Trans-arterial chemo embolization or radio embolization b. Medical treatment- targeted chemotherapy

When it comes to liver cancer, early detection becomes of prime importance. Liver cancer has lower survival rates because the patient is diagnosed with the disease at a very late stage. So, it is very important to be alert and proactive. When you first notice any persistent problem with the digestive tract, it is best to visit an experienced surgical gastroenterologist.

Do not ignore the symptoms of liver cancer. Early detection and accurate treatment by a liver surgeon can save your life. Visit the experienced surgical gastroenterologist in Surat today to seek medical treatment for liver cancer. Book an appointment with South Gujarat’s first National Board Certified HPB and GI surgeon.

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Fight Against GI Cancer: Why A Surgical Gastroenterologist is Necessary for GI Surgeries?

Although several cancers are one of the main reasons for deaths globally, GI cancers are the most common cause of death. GI cancer is the collective term of different types of cancerous diseases that affect the digestive tract. So, if you have a cancerous tumor in the esophagus, stomach, liver, colon, or other parts of the digestive system, the doctors will categorize it as GI cancer.

Gastrointestinal cancers begin in the lining of the cells of one or more organs of the GI tract. Cancer may metastasize to the digestive organs and spread to lymph nodes and other surrounding tissues.

A Surgical Gastroenterologist is Important for the treatment of GI Cancers

Whenever we think of a GI surgeon, we think of problems with the stomach and intestine. However, a surgical gastroenterologist does much more than tackle heartburn, indigestion, and acidity issues.

Surgical gastroenterology is a sub-specialty field of medicine dealing with diseases related to the entire human gastrointestinal tract. It means that a GI surgeon has received formal training in treating disorders related to several GI tract organs such as the esophagus, stomach, pancreas, liver, gall bladder, and biliary tract, small and large intestine, rectum, and anus.

As diseases of the gastrointestinal system are far common in India today, surgical gastroenterology is a well-recognized field, especially by the National Board of Examinations. A surgical gastroenterologist or a GI surgeon has received training to provide tertiary care for patients. They have experience in complicated GI surgeries, including the treatment of different types of gastrointestinal cancers.

With the advancement in medical technology, the profession of a GI surgeon has evolved from a pure diagnostician to an essential member of the oncology team. They hold a crucial place towards ensuring optimum patient care. As a GI cancer surgeon, the medical professional is equipped in:

a. Accurate risk assessment and early detection of GI cancers.

b. Interpretation of laboratory tests and investigations to arrive at a logical diagnosis.

c. Emergency GI surgeries such as gastrointestinal bleeding, trauma, etc.

d. Carrying out endoscopic procedures, laparoscopy, and other minimally-invasive surgical procedures.

e. Proficient pre-operative and post-operative care.

f. Pain management techniques and palliative surgeries.

Whether caused by a lifestyle issue or congenital anomalies, surgical gastroenterologists advise regular medical screenings and immediate medical attention to treat cancer. So, do not miss out on routine medical checkups at the GI surgeon's clinic.

How are GI Cancer Surgeries different than Other Surgeries?

The digestive system is one of the most crucial systems of our body. It does the function of breaking down food into nutrients that the body can assimilate for energy, cell growth, and repair. Without the efficient working of the digestive system, it becomes difficult for the patient to survive. Let’s understand how GI cancer surgeries are more complicated:

1. Esophageal Cancer Surgery

With the help of an esophagectomy, the GI surgeon will remove the cancerous tumor and the affected part of the esophagus. The procedure also includes a resection to connect the healthy section of the esophagus to the stomach so that the patient can swallow food easily.

2. Stomach Cancer Surgery

If a patient has stomach cancer and a total gastrectomy is necessary, the GI surgeon will remove the stomach and connect the esophagus to the small intestine. This way, the doctor can ensure the passage of food and absorption of nutrients.

3. Colon Cancer Surgery

If the GI surgeon is undertaking a colectomy, the doctor will remove a part of the colon affected by cancer. The surgical procedure also involves attaching the remaining of the colon to the digestive tract to ensure efficient functioning. For example, during the right hemicolectomy, the doctor will remove the ascending colon and attach the end of the small intestine to the transverse colon.

4. Liver and Biliary Tract Cancer Surgery

If the patient is suffering from liver and biliary tract cancer, the GI surgeon has to undertake a complicated biliary tract surgery to remove the tumor. The surgery will depend on the size and location of the tumor. For example, in cases of Intrahepatic bile duct cancers, the surgeon may have to cut out a piece of the liver as well. It is essential to work with an experienced surgical gastroenterologist because, after the resection of tumor, the doctor will have to undertake a reconstruction of the biliary tract for the optimum digestive function of the body.

5. Whipple’s Procedure for Pancreatic Cancer

The procedure to remove the cancerous tumors from the head of the pancreas, duodenum, gall bladder and bile duct is called Whipple’s procedure or Pancreaticoduodenectomy. Usually, the surgery involves removing tumors. It is a proven surgical procedure to treat pancreatic cancer in the head of the organ. After the surgery, the GI surgeon will reconstruct/reconnect the remaining organs for effective digestion. The medical professional may undertake: 1) Pancreatojejunostomy for pancreatic juices 2) Hepaticojejunostomy for biliary juices 3) Gastrojejunostomy for food and gastric juices.

And, so when it comes to GI cancer surgeries, surgical gastroenterologists take special care in removing the tumor & the affected tissues and ensure accurate reconstruction of the remaining of the GI tract.

So, whether you undergo surgery for diagnosing cancer, staging cancer, removing the cancerous tumor and surrounding tissues to prevent the spread of the disease, or as a preventative measure, choose a reputed and experienced GI surgeon as a part of your oncology team.

For the best GI cancer treatment, consult Surat’s first National Board Certified HPB and GI cancer surgeon.

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Dr. Darshan Patel is one of the leading Gastro Surgeon in Surat,Best Gastroenterologist Surat,Surgical Gastroenterologist Surat,Best Gastrointestinal Surgeon  Best Liver Transplant Surgeons,Best Liver Surgeon,Best Liver Surgeon Surat,Best Liver Doctor,Best Liver Cancer Surgeon.

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Celebrating successful completion of 2nd year of "SIGELS" GASTROENTEROLOGY CLINIC In these two years, We have successfully performed more than 1000 of complex Gastrointestinal, Liver and GI cancer surgeries.. I thank to all my friends, colleagues, seniors, family members and God for achieving these milestones..Special thanks to all doctor friends for all support in referring patients and putting faith & trust in us. I seek your blessings and support for providing better health care services to our patients.. Happy 2nd Anniversary "SIGELS" Clinic. Regards Dr Darshan Patel Surgical Gastroenterologist, Liver and GI cancer surgeon Contact: (+91)97279 58528 www.gastroenterologysurat.com darshansigels@gmail.com #workanniversary #anniversary #years #congratulations #thankyou #celebrate #work #grateful #workcelebration #journey #yearanniversary #happyanniversary #companymilestone #sigels #gastroenterologysurat #gastrosurgeoninsurat #gastrointestinaldoctorsurat #liversurgeonsurat #pancreaticsurgeonssurat (at Surat, Gujarat) https://www.instagram.com/p/CQL0WUMB8k-/?utm_medium=tumblr

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GI Onco Surgeon in Ahmedabad | GI Onco Surgeon in Surat

In spite of the fact that there is no assurance that somebody may not get either stomach or esophageal disease, there are unequivocal connections between specific factors that expansion the odds of getting them. Thus it is vital we comprehend them and act as needs are. Swasti Gastroenterology for GI Onco Surgeon in Ahmedabad, GI Onco surgeon in Baroda, GI Onco surgeon in Surat

 Tobacco and liquor are the most vital variables that can build the possibility of creating esophageal growths notwithstanding adding to different tumors, for example, the lung, liver, pancreas and so forth. Subsequently staying away from or lessening the admission of liquor and tobacco in any shape will be a sound advance forward in assaulting the battle against the disease. Swasti Gastroenterology for GI Onco surgeon in Ahmedabad, GI Onco Surgeon in Surat, GI Onco surgeon in Baroda

 Damage to the throat because of destructive (corrosive, soluble base) ingestion duplicates the danger of one getting an esophageal tumor. So also Barrett's throat that is an aftereffect of long-standing gastroesophageal reflux illness (GERD) has a higher shot of tumor change than the local throat. GERD is prevalently an expanding issue with the modernization of our way of life, dietary propensities and inactive way of life. Corpulence, which is a worldwide plague, is likewise connected with an expanded frequency of esophageal malignancy. Henceforth evasion of liquor, tobacco, embracing a way of life with sound dietary examples and continuous exercise that will diminish the possibility of GERD and Obesity will all go far in advancing well-being and anticipating disease. Swasti Gastroenterology for GI Onco surgeon in Ahmedabad, GI Onco surgeon in Baroda, GI Onco surgeon in Surat

 Early Diagnosis:

 Malignancy of the throat or stomach can be analyzed at a beginning period just if patients look for the consideration of the specialist with indications. For that to happen, the significant hindrance in India is the absence of mindfulness in the overall public in the matter of who should approach a specialist and when. Manifestations that should alarm the regular man to the likelihood of disease in the stomach or throat include:

 • Difficulty in gulping

 • Loss of craving

 • Loss of weight

 • Prolonged tenacious spewing

 • Lump in the midriff (tummy)

 • Vomiting blood or passing dark-hued movement

 • Anemia

 The above indications warrant critical consideration and examination particularly in individuals beyond 50 years old. Examinations would incorporate some straightforward blood tests and an endoscopy to investigate within the throat and stomach.

 Upper Gastrointestinal (Upper GI) endoscopy is extremely touchy in a decision out the nearness or nonappearance of the tumor and is additionally valuable in diagnosing different issues like ulcers, corrosive harm, and diseases which can be treated with suitable solutions. Consequently, an endoscopy is firmly informed in the nearness with respect to the above manifestations in all age gatherings and all the more vitally in individuals over 50 years old. Swasti Gastroenterology for GI Onco surgeon in Ahmedabad, GI Onco surgeon in Baroda, GI Onco surgeon in Surat

 TREATMENT OF CANCERS OF THE STOMACH AND ESOPHAGUS

 Once the malady is affirmed, it is trailed by evaluation of the spread of the infection, to discover if the disease is at an early or propelled organize. The examinations generally include CT filters as well as some specific type of checking and X beams. Once the phase of the tumor is checked the Oncology group which typically involves Gastroenterologists, Surgeons, Medical and Radiation Oncologists work together on which would be the best treatment appropriate for the patient at that specific phase of illness. Early phases of disease are conceivably treatable and finish surgical evacuation of the malignancy with the related organ included (fractional or finish) is all that might be essential. Radiation and Chemotherapy alone might be therapeutic at specific destinations, for example, the upper throat. Notwithstanding, when the illness isn't at a beginning time, the consolidated methodology of Surgery, Chemotherapy, and Radiotherapy might be fundamental, and that will be chosen by the group treating the patient. This could, in any case, result in a cure when forcefully and suitably oversaw by a multidisciplinary group at specific focuses that have the group of specialists and offices to offer these blend treatments. Following the finish of treatment, it is fundamental that the patients are routinely followed up and found in the facilities at customary interims. They may likewise require examines at indicated interims to pay special mind to repeat (returning) of the disease. Propelled growths that are past a phase of cure are generally overseen by situations of endoscopic metal stents to enable the gulping to process with or without chemotherapy. Swasti Gastroenterology for GI Onco surgeon in Ahmedabad, GI Onco surgeon in Baroda, GI Onco surgeon in Surat

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Colorectal Cancer – A Cure is possible

Colorectal Cancer (CRC) is a common and potentially lethal disease. Globally, CRC is the third most commonly diagnosed cancer in males and the second in females, with 1.65 million new cases and almost 835,000 deaths in 2015. As per GLOBOCON (2012) data, incidence of CRC in India is very low (Age Standardize rate per 1,00,000 – 6.09) as compared to Australia (38), New Zealand (37), Europe (30), North America (25), Canada (31) and other countries of South East Asia. However, with increase in urbanization there is a steady increase in incidence of CRC in India.

Know the Risk Factors associated with Colon Cancer

Risk factors can be broadly divided into genetic and environmental reasons. Genetic syndromes include familial adenomatous polyposis (FAP), Hereditary nonpolyposis colon cancer (HNPCC) or Lynch syndrome, Turcot, Gardner and MyH-associated polyposis. Environmental factors include consumption of alcohol, fresh red meat, processed meat, obesity, smoking, ulcerative colitis, old age, male gender and diabetes mellitus with insulin resistance.

Learn the Common Symptoms of Colorectal Cancer

Patients with symptoms such as melena (black stool), bleeding per rectum, chronic anemia, alternate diarrhea & constipation, passage of mucus in stool, tenesmus and constitutional symptoms like weakness, anorexia, weight loss & fever. In case of obstructing tumors (left colon) presentation can be with severe abdominal pain, distention, vomiting and obstipation.

How to Diagnose Colorectal Cancer?

>>Blood tests include complete blood count (CBC), liver & kidney function tests, carcinoembryonic antigen (CEA) and carbohydrate antigen 19.9 (CA19.9). Preoperative CEA & CA19.9 levels help in prognostication and is necessary for follow up to detect/identify recurrence.

>>Colonoscopy is necessary to identify extent of disease and also to detect other synchronous (2-5%) lesions if any. It also helps to take preoperative biopsy.

>>Radiological imaging in form of contrast enhanced computed tomography (CECT) scan of abdomen is necessary for staging. Magnetic resonance imaging (MRI) is better for rectal cancer.

What is the Effective Treatment for CRC?

Multi-disciplinary team (MDT) approach is necessary for effective treatment of CRC. MDT consists of CRC Surgeon, Gastroenterologist, Medical Oncologist, Radiation specialist, Pathologist, Radiologist & nurse.

Broadly options include following:

a.Early or Operable Disease: Primary surgery with or without adjuvant chemotherapy or radiotherapy (for rectal cancer).

b.Locally Advanced Disease: Primary surgery unlikely: Consider preoperative chemotherapy/radiotherapy

c.Isolated metastatic disease: Consider resection of primary disease followed by metastatectomy with or without neoadjuvant and/or adjuvant chemotherapy

d.Widespread metastatic disease: Palliative chemotherapy, supportive care

What is the Surgery for Treating Colon Cancer?

Surgery forms mainstay in curative treatment of colorectal cancer. Principles of surgery for primary tumor are as follows:

>>For colon cancer: Complete Mesocolic Excision (CME) with central vessal ligation (CVL) should be done in which the affected part of the colon and at least a 5-cm segment on either side together with the draining lymph nodes along the feeding vessels should be resected.

>>For rectal cancer: A distal margin of 1–2 cm may be acceptable for low rectal cancers.  Total Mesorectal Excision (TME) extending 4–5 cm below the distal edge of the tumour/complete TME should be performed.

>>A minimum lymph node yield of 12 is required for adequate staging.

>>Laparoscopy-assisted/Laparoscopic resection may be considered by experienced laparoscopic surgeons for uncomplicated early disease.

Principles of Surgery for Colorectal Liver Metastasis (CLM) are:

1. Liver resection is the treatment of choice for resectable CLM.

2. Preoperative assessment for resectability must be performed according to the location and extent of hepatic disease as well as adequacy of future liver remnant (FLR).

3. When the FLR is inadequate, portal venous embolization or staged liver resection can be considered.

4. The primary tumor must be resectable/completely resected (R0)

5. For synchronous liver metastasis, simultaneous resection or a staged approach can be adopted depending on the anticipated complexity of surgery of the primary tumor and of the liver disease, available surgical expertise, and co-morbidities.

6. For upfront unresectable cases, re-evaluation for conversion to resectable disease should be considered every 2 months after preoperative chemotherapy, provided all original sites are amenable to resection.

Chemotherapy and Radiotherapy

Commonly used chemotherapy 5-Flourouracil with Oxaloplatin (FOLFOX) or Capecitabine with Oxaloplatin (CapeOx) as adjuvant treatment for stage III, IV and selected stage II CRC. Patients with stage II and above rectal cancer require preoperative or postoperative CTRT (combination chemoradiotherapy).

Prognosis

Amongst all digestive cancers, this cancer carries the best prognosis largely due to the multidisciplinary treatment options that have dramatically improved over the last decade. Overall, 5-year survival rates of CRC for Stage I is 88-92%, Stage II is 60-85%, Stage III is 50-80% and Stage IV is 12-13%.

Seek an experienced GI Surgeon for colorectal cancer treatment. Visit an expert to know more about colon cancer and other ailments of the digestive system. Call on +91-9016519832 to book an appointment with the best gastrointestinal surgeon in Surat.