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Get more information about Gastrointestinal Cancer, symptoms of GI Cancers, GI Cancers Diagnosed, Gastrointestinal Cancer surgery in Delhi, India.
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Gastrointestinal Cancer Surgery in DelhiByTheTopSurgeonDr.Neeraj Goel • Whatare Gastrointestinal(GI)Cancers? • Gastrointestinaltractpertainsto thepartofthe bodywhichhelpsin digestion, assimilationandexcretionoftheeatenfoodmaterials.Itstartsfromtheesophagus, goes onto stomach, small intestine, large intestine, rectum and ends at anus(the anal openingortheexcretoryorifice).Itsapproximatelengthis6meters.Italsoinvolves • otheraccessoryorganswhichaid indigestion like,liver,gallbladderandbiliary systemand pancreas. • Gastrointestinal(GI)canceristhetermgiventocancer affectinganyoftheseorgans. • WhataretheGeneralfeatures ofGI Cancers? • Majorityofthesecancersarelifestylerelated.Theyaretheresultofoneormore lifestylerelatedproblems suchas • Obesity • Alcohol • Smoking • Soitimpliesthatmajorityofthesecancerscanbepreventedbyadoptionofhealthy lifestyle. • These cancersareverymuch amenabletoscreening.Suchas forcolorectal cancers-Colonoscopycanbeeasilyperformed.Similarlyinsomecountrieslike • Japanthereisscreeningprogramforesophagealandstomachcancersbytheuseof Upper GI Endoscopy. • Certaininfectionsareknowntocausecancersin theGISystemlikeHepatitisBand hepatitisCfor livercancer.TheseinfectionsaretreatablenowandHepatitisB infectionispreventablebythe use ofvaccineavailable. • The risk of these cancers increases with age especially after 50 years of age. But recentlytheincidenceisincreasingrapidlyin theyoungeragegroup.Itmaybe lifestylerelated orgeneticallymodulated.
WhataredifferentGI Cancers? • The majortypesof cancers are • Esophageal(food pipe)Cancer • StomachCancer • ColorectalCancers • Gallbladdercancer • PancreaticCancer • LiverCancer • What arethesymptomsofGICancers? • Unfortunatelythesecancersdonotcausemuchsymptomsearlyorcausesymptoms whichareeasilyignored.Thesymptomsdependuponthelocationofthecancer. • Themajorsymptoms of GICancersare • AbdominalPainisacommon featureforgallbladderandpancreaticcancer.Paincan be thereincoloniccancersalso. • Esophagealcancerspatients havedifficultyinswallowing • Stomachcancerpatientshavesymptoms ofindigestionor hyepracidityorvomitingafter meals. • Gallbladdercancer presentwithrightupperabdominalpain andsometimesjaundice • Pancreaticcancerscanhave pain andjaundice. • Colorectalcancerspresent witheitherbleedingfromanal orificeorrecentonset constipationorblackcolored stoolsor sometimeseven as appendicitispain • Lossofappetiteandlossofweight • Howare GICancers Diagnosed? • The diagnosisof thedisease.If yourdoctorsuspects GIcancerdependingupon yoursymptomshemayadviseoneormore ofthefollowinginvestigations: • Endoscopytolookforanychange intheliningofthe esophagus,stomachorearlysmall intestine. • Colonoscopy tocheckforpolyps,cancersintothelargeintestine • ImaginglikeCTscan,MRI,PET Scan dependinguponthedisease asprescribedbythe doctor • Biopsy ofthelesionsseenin during endoscopyor lesionsseen onimaging asthecasemay • be • BloodInvestigationsinvolvingroutineblood testsandcertaintumormarkers likeCEA, CA19-9andothers.
Whatis thetreatmentofGI Cancers? Thetreatment of the GI Cancersinvolvessurgery, chemotherapyandradiationbeingappliedindifferentcombinations.Thetreatment isdependentupontheclinicalstageof thedisease. Ifthetumor is earlydiagnosed surgery maybe whatall is needed.Butincertainscenarioschemotherapy and radiationarerequiredtobegivenbeforethesurgery.Similarlychemotherapyand radiationmayalsoberequiredafterthesurgery. Surgeryperformed can beopen orLaparoscopic(keyholeorMinimally Invasive).Surgery aimsatcompleteremovalofthetumoralongwithamarginof normaltissueandthenrestorethenormalGIFunction.Forlivercancer transplantationisalsopossibleincertaincases.