Gastrointestinal (GI) Cancer Treatment in Surat

With immediate medical care and expert assistance, we can treat gastro intestinal cancer and help the patient gain quality of life. Early detection is the key. If the medical reports confirm the existence of a type of GI cancer, Dr. Jay Chokshi will recommend surgery, chemotherapy and radiotherapy. He is experienced in key hole surgery (laparoscopic surgery) for minimal scarring and quick recovery.

Gastrointestinal Cancer Surgery includes:

1. CANCER OF THE ESOPHAGUS

Esophageal cancer occurs when cancerous cells form in the esophagus. People who are addicted to smoking and alcohol are more prone to the cancer of the esophagus. Also, if you are diagnosed by Barrett’s esophagus, your risk of the cancer increases. For the surgery of esophagus or esophageal resection, the doctor will remove a part of the organ or remove it entirely depending on the spread of the disease.

• Trans Thoracic Esophagectomy (TTE) – It is performed through the chest. Often, the doctor will remove a part of the esophagus and a section of the stomach. The remaining parts of the esophagus and stomach are connected after the removal of tumors.
• Transhiatal Esophagectomy (THE) – The doctor will remove the cancerous tumor through an abdominal incision and a small incision on the left side of the neck. Here, there will be no incision to the chest.
• Left thoracoabdominal Esophagectomy – Often, when patients are suffering from gastric cancer that has affected the esophagus, the doctor may require to perform thoracic esophagectomy and total gastrectomy. Resection and reconstruction become easy with the left neck approach because it offers an efficient access to the GI tract easily.

2. CANCER OF STOMACH

Stomach cancer or gastric cancer occurs when cancerous growth is detected in the stomach region. For stomach cancer treatment, the doctor will have to remove a part or all of the stomach. The surgical procedure is called gastrectomy.

• Radical (D2) Distal Gastrectomy – Distal Gastrectomy with D2 lymph node dissection is often required for advanced stomach cancer patients. After the surgery, the doctor will reconstruct the GI tract. Depending on the condition of the patient, a laparoscopic distal gastrectomy can lead to minimal scarring.
• Radical (D2) Total Gastrectomy – The entire stomach is removed because the cancer is spread. Along with the organ, the doctor will have to remove adjacent lymph nodes, sections of esophagus and small intestine.

3. CANCER SURGERY FOR GIST (GASTROINTESTINAL STROMAL TUMORS) & NET (NEUROENDOCRINE TUMORS)

GIST (Gastro Intestinal Stomal Tumors) are rare cancers that origin in the walls of the GI tract, called the interstitial cells of Cajal (ICCs). In order to suggest a cancer surgery for GIST, the doctor will have to study the size and growth of the tumor and its location. If the tumor is small in size, a laparoscopic surgery can be fruitful in removing it.

If the cancerous growth is visible in the neuroendocrine cells of the digestive tract, doctors call them Neuroendocrine tumors. Dr. Jay Chokshi is experienced in treating GISTs and NETs. As GISTs can contain blood vessels, his experience and technique will avoid uncontrollable bleeding.

4. CANCER OF THE COLON & RECTUM

Colon cancer (CRC) or colorectal cancer is the cancer of the colon and rectum, the last section of the GI tract. To remove the spread of cancerous cells from the colon, the doctor will have to surgically eliminate the part of the colon. It is possible to remove a part of the colon and resection the remaining parts of the digestive tract with the help of hemicolectomy.

• Right/Extended Right – Hemicolectomy – It involves removing the ascending part of the colon that is connected to the small intestine.
• Left/Extended Left – Hemicolectomy – It includes removing the descending or the lower part of the colon that is attached to the rectum.
• Low Anterior Resection – An LAR surgery is a common procedure for treating rectal cancer. It includes removing a part of the rectum to eliminate the malignant growth.
• Abdominoperineal Resection – In this procedure, the doctor will remove the distal colon, rectum and the anus to treat the cancer situated in the very low end of rectum or in anus.

5. LIVER CANCER SURGERY

A surgery for liver cancer is called hepatectomy. It includes removing a part of the liver and undertaking a resection to eliminate a cancerous tumor. Whether it is Hepatocellular Carcinoma (HCC) or metastatic liver tumors, a partial hepatectomy may become necessary.

In certain situations, a liver transplant surgery may become a necessity, especially when the location of the tumor makes a partial hepatectomy difficult or the disease has spread in the entire organ.

6. PANCREATIC CANCER

Pancreatic cancer occurs when you are diagnosed with a cancerous growth in the pancreas. Dr. Jay Chokshi has performed many pancreatic cancer surgeries with minimally-invasive technique to ensure quicker recovery for the patients.

• Pancreaticoduodenectomy (Whippl’s procedure) – It is a complicated surgical procedure that includes removing the pancreas head, first part of the small intestine, gall bladder as well as the bile duct.
• Distal Pancreatectomy – The surgery requires your surgical gastroenterologist to remove tumors from the body and tail of pancreas.
• Laparoscopic Median Pancreatectomy – It is necessary to remove pancreatic cancer tumors from the mid-body of the organ.

7. GALL BLADDER CANCER – EXTENDED CHOLECYSTECTOMY

Although gall stones and gall bladder inflammation are the most common issues associated with gall bladder, one should not discount the possibility of a cancer. If gall bladder cancer is detected in the body, the doctor may undertake a potentially curative surgery or a palliative surgery depending on the spread of the disease.

An extended cholecystectomy includes removal of the gall bladder along with adjacent lymph nodes and extrahepatic bile duct.

Radiation, chemotherapy and targeted therapy drugs also become a part of the treatment.

8. BILE DUCT CANCER SURGERY

Depending on the spread of the cancerous tumor and its location, the doctor may undertake a bile duct cancer surgery to treat the patient. If the cancer is contained in the bile ducts that are inside the liver, the GI cancer surgeon will have to remove a part of the liver to eliminate the tumor. It is called partial hepatectomy.

When the cancer is spread to other parts of the GI tract, a Whipple’s procedure may become necessary. The doctor may perform other types of palliative bile duct cancer surgeries to relieve the patient of the symptoms.

Dr. Jay Chokshi has first-hand experience of performing complex GI cancer surgeries related to the esophagus, liver, gall bladder, pancreas, colon and other organs of the gastrointestinal tract. With proficiency in advanced laparoscopic surgeries, the doctor delivers the best gastrointestinal cancer treatment in South Gujarat.