Gastrointestinal Cancer Surgery

Dr. Amit Javed performs more than 1000 surgeries each year helping patients with complicated abdominal diseases, gastrointestinal cancers and obesity . He performs all types of bariatric surgeries for weight loss, and laparoscopic and open surgeries for all types of abdominal problems. Some of his areas of expertise are as follows.

Esophagectomy for Esophageal Cancer

Esophgeal cancer is the cancer of the food pipe. Common risk factors include smoking, alcohol consumption and chronic gastroesophageal reflux. Patient presents with progressive difficulty in swallowing food, weight loss, decreased appetite, or bleeding. The diagnosis is made on endoscopy and a CT scan is performed to stage the disease. Surgery for esophageal cancer involves removing the cancerous esophagus along with draining lymph nodes and creating a new food passage most often from the stomach. The entire complex surgery can be performed by the laparoscopic technique.

Gastrectomy for Stomach Cancer

The risk factors for stomach cancer include smoking and a diet of highly processed or salty foods.There may be no symptoms in the early stages of the disease. Later, symptoms include feeling bloated after eating, feeling full after eating small amounts of food, nausea, heartburn or indigestion. There may be vomiting a few hours of ingesting food, decreased appetite and weight loss.

Surgery for stomach cancer involves removal of either whole or part of the stomach with draining lymph nodes. The surgery can be performed both by the laparoscopic and open approach

Hepatectomy for Liver Cancer

Liver cancer can either be primary or secondary to cancer else where in the body. Primary liver cancer can be managed either by surgical removal of a part of the liver, transplant, chemotherapy or in some cases radiotherapy. Symptoms are uncommon in the early stages of liver cancer. Later, symptoms may include weight loss, stomach pain, vomiting and yellowed skin.

Surgical treatment involves either resecting a part of the liver which can be done either by open or laparoscopic surgery or liver transplant.

Radical cholecystectomy for Gall Bladder Cancer

Gall bladder cancer is very common in North India. The risk factors include conditions that cause chronic inflammation of the gall bladder including gall bladder stones and gall bladder polyp. Majority of patients are asymptomatic in the initial stage of the disease and later may present with abdominal pain, weight loss, decreased appetite, jaundice, abdominal lump. The cancer may also be incidentally detected in the cholecystectomy specimen done for an unsuspected gall bladder stone. The mainstay of treatment is surgery which involves removal of the gall bladder along with a portion of the liver and draining lymph nodes. Dr Amit Javed has vast experience in the surgery for gall bladder cancer. He has written several articles in various international journals and has demonstrated the surgical technique of laparoscopic surgery for gall bladder cancer at various International and national meetings.

Whipples surgery and distal pancreatectomy for Pancreatic Cancer

The risk factors for pancreatic cancer include smoking, diabetes and family history of cancer. its more commonly seen in elderly men. The symptoms depend upon the location of the tumor. Those located in the head of pancreas present with jaundice which is associated with itching, passage of dark yellow urine and clay colored stool. The tumors in the body and tail of the pancreas have vague symptoms in the early stage of the disease. The surgical treatment of these tumors is by either Whipples pancreaticoduodenectomy or distal pancreatectomy plus splenectomy. Dr Javed has a significant experience of performing a totally laparoscopic Whipples operation and laparoscopic distal pancreatectomy.

Colectomy for Colon Cancer

Risk factors for cancer of the colon include a diet high in fat and low in fiber, family history of cancer, familial cancer syndromes, inflammatory bowel disease-ulcerative colitis, and adenomatous polyp. Patients may present with weakness, unexplained iron deficiency anemia, bleeding per rectum or constipation, abdominal distension. Diagnosis is usually confirmed by colonoscopy. Surgery involves removal of a part of the involved large intestine along with draining lymph nodes. This is most commonly performed by the laparoscopic approach.

Anterior resection and abdominoperineal resection for Rectal Cancer

Patients with rectal cancer present with bleeding per rectum, alteration of bowel habits and constipation. Tumors of the rectum are managed either by anterior resection and an abdominoperineal resection.