Dharamshila Narayana Gastrointestinal Cancer Centre provides effective, technologically advanced treatment services for patients with all types of gastrointestinal (GI) tumors, including esophageal, stomach, biliary tract (bile duct), small intestine, colon, rectal, liver and pancreatic cancers. The management of gastrointestinal cancers depends on the presenting stage of disease and patient fitness. Patients with disease that has not spread will be considered for surgery or radiotherapy, and chemotherapy can also be of benefit. Patients with inoperable or metastatic disease will be considered for chemotherapy and maybe radiotherapy.
Our Gastrointestinal cancer treatment services include:
Gastrointestinal Surgery - Our skilled and experienced Gastrointestinal Cancer Surgeons are backed by powerful interdisciplinary insights and extensive trainings. The unit provides minimally invasive techniques, bariatric surgery and treatment of gastro-esophageal reflux conditions, esophageal cancer, wound care, hepatobiliary and pancreatic cancer and neuroendocrine disorders of the pancreas. Diseases and cancer of the colon and rectum are specialty areas of our colorectal surgeons. Each surgeon practices subspecialty surgery limited to each individual′s area of expertise and interest. Traditional and minimally invasive gastrointestinal surgery – state-of-the-art fiber optic technology limits the amount of incisions, reduces pain and shortens recovery time for patients who suffer from polyps and cancer. The following types of surgery are performed at Dharamshila Gastrointestinal Cancer Centre :
Esophagectomy - Esophagectomy is a surgical procedure to remove part of the tube between your mouth and stomach (esophagus) and then reconstruct it using part of another organ, usually the stomach. Esophagectomy is a common treatment for advanced esophageal cancer.
If the tumor is blocking the stomach but the cancer cannot be completely removed by standard surgery, the following procedures may be used:
Endoluminal stent placement: A procedure to insert a stent (a thin, expandable tube) in order to keep a passage (such as arteries or the esophagus) open. For tumors blocking the passage into or out of the stomach, surgery may be done to place a stent from the esophagus to the stomach or from the stomach to the small intestine to allow the patient to eat normally.
Endoluminal laser therapy: A procedure in which an endoscope (a thin, lighted tube) with a laser attached is inserted into the body. A laser is an intense beam of light that can be used as a knife.
Gastrojejunostomy: Surgery to remove the part of the stomach with cancer that is blocking the opening into the small intestine. The stomach is connected to the jejunum (a part of the small intestine) to allow food and medicine to pass from the stomach into the small intestine.
Pancreatectomy: A pancreatectomy is the surgical removal of all or part of the pancreas. There are several types of pancreatectomy including pancreaticoduodenectomy (Whipple procedure), distal pancreatectomy, segmental pancreatectomy, and total pancreatectomy, the removal of the entire pancreas.
Hepatectomy - A liver resection is the surgical removal of all or a portion of the liver. It is also referred to as a hepatectomy, full or partial. We at Dharamshila Narayana Cancer Centre only perform partial resections. Most hepatectomies are performed for the treatment of hepatic neoplasms, both benign and malignant. Benign neoplasms include hepatocellular adenoma, hepatic hemangioma and focal nodular hyperplasia. The most common malignant neoplasms (cancers) of the liver are metastases; those arising from colorectal cancer are among the most common, and the most amenable to surgical resection. The most common primary malignant tumour of the liver is the hepatocellular carcinoma. Hepatectomy may also be the procedure of choice to treat intrahepatic gallstones or parasitic cysts of the liver.
Colorectal resection - A colon resection (also known as a colectomy) is an inpatient procedure in which the cancerous portion of the colon is removed. To ensure all of the cancerous tissue is removed, a small portion of healthy colon tissue adjacent to the cancerous tissue may also be removed. On average, one-fourth to one-third of the colon may be removed during a colectomy. The remaining portions of the colon are then connected.
• Wound ostomy care – stoma siting, preoperative education and counseling regarding the physical care of a newly created stoma and the psychosocial aspects of daily living, post-surgical follow-up care, problem resolution, support and guidance provided by a certified wound ostomy nurse
• Chemotherapy - Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). The way the chemotherapy is given depends on the type and stage of the cancer being treated.
• Chemoembolisation for liver cancer - In some cases, chemoembolisation can be used to treat liver cancer. This involves blockage of the blood supply while anti-cancer drugs are administered directly into the tumour.
• Radiation therapy - Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing. There are two types of radiation therapy. External radiation therapy uses a machine outside the body to send radiation toward the cancer. Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer. The way the radiation therapy is given depends on the type and stage of the cancer being treated.
• Adjuvant Therapy (chemotherapy and radiation therapy after gastrointestinal surgery) - Chemoradiation therapy combines chemotherapy and radiation therapy to increase the effects of both. Chemoradiation given after surgery, to lower the risk that the cancer will come back, is called Adjuvant Therapy.
• Neoadjuvant Therapy (chemotherapy and radiation therapy prior to gastrointestinal surgery) – encourages significant reductions in tumor volume, allowing initially unresectable cancers to become resectable, and providing improvements in survival and cancer control. Chemoradiation given before surgery, to shrink the tumor is called Neoadjuvant Therapy.
• Targeted therapy - Targeted therapy is a type of treatment that uses drugs or other substances to identify and attack specific cancer cells without harming normal cells. Monoclonal antibody therapy is a type of targeted therapy used in the treatment of gastric cancer.
Monoclonal antibody therapy uses antibodies made in the laboratory from a single type of immune system cell. These antibodies can identify substances on cancer cells or normal substances that may help cancer cells grow. The antibodies attach to the substances and kill the cancer cells, block their growth, or keep them from spreading. Monoclonal antibodies are given by infusion. They may be used alone or to carry drugs, toxins, or radioactive material directly to cancer cells.