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Stomach Cancer

What Is Stomach Cancer

The stomach is a J-shaped organ in the upper abdomen. It is part of the digestive system, which processes nutrients (vitamins, minerals, carbohydrates, fats, proteins, and water) in foods that are eaten and helps pass waste material out of the body. Food moves from the throat to the stomach through a hollow, muscular tube called the esophagus. After leaving the stomach, partly-digested food passes into the small intestine and then into the large intestine.

Types of Stomach Cancer

Gastric cancer begins in the cells lining the mucosal layer and spreads through the outer layers as it grows.

Stromal tumors of the stomach begin in supporting connective tissue and are treated differently from gastric cancer.

Treatment Of Stomach Cancer

Surgery – Tumour resection is one of the best and most sought after surgery for stomach cancers in early stages. Best cancer hospitals in India would generally resort to laparoscopic surgery rather than open surgery unless and until suggested otherwise. In this operation, the cancer infected organ in the abdomen or part of the organ is removed through a small incision.

Subtotal (partial) Gastrectomy: This type of abdomen cancer or GI surgery is performed if the cancer is only in the lower part of the stomach and close to the intestines. It is also sometimes used for cancers that are only in the upper part of the stomach. Only part of the stomach is removed, sometimes along with part of the esophagus i.e food pipe or the first part of the small intestine.

Total Gastrectomy: This method is used if the cancer has spread throughout the stomach. It is also often used if the cancer is in the upper part of the stomach. The surgeon removes all of the stomach, nearby lymph nodes, spleen and parts of the esophagus, intestines, pancreas, and other nearby organs. The end of the esophagus is then attached to part of the small intestine. People who have had a total gastrectomy can only eat a small amount of food at a time. Because of this, they must eat more often.

Cost Of Stomach Cancer Treatment

The first step is to correctly diagnose the stage of Stomach cancer. The cost of blood tests, CT Scan, Biopsy and PET CT would be approximately USD 500-800. Once we know the stage of the cancer then the treatment is planned. Partial Gastrectomy Surgery costs approx 4-5 thousand USD while Total Gastrectomy Surgery costs USD 8-10 thousand.

The hospital stay for Stomach Cancer Surgery would be 5-8 days. The post discharge stay in India would be about 2 weeks. So you should ideally plan a trip for about 3-4 weeks to India for getting the complete treatment. You can send your reports by email or whatsapp to get an estimate about the cost of the treatment before arriving in India.

Apart from the treatment the other costs like travelling, hotels and food are all cheaper in India. The boarding and lodging cost for the patient and one attendant in a decent airconditioned guest house would be around USD 40-60 per day. Those who have to stay for long periods can even rent an apartment for around 300-400 USD per month. The stay in cancer cases is longer where the patient needs multi modality treatment. For query please whatsapp at +91-8800188334 or email to info@healthinindia.com

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Pancreatic Cancer

Pancreatic cancer is a disease in which malignant (cancerous) cells form in the tissues of the pancreas. The pancreas is a gland located behind the stomach and in front of the spine. Pancreas produce the pancreatic juice which helps in the digestion of the food. Pancreas also produce Insulin which is needed by our cells to burn sugar and produce energy. The cells which produce the digestive juice are called Exocrine Cells and it is these cells where the cancer mostly originates.

Pancreatic cancer typically spreads rapidly to nearby organs. It is seldom detected in early stage. But for people with pancreatic cysts or a family history of pancreatic cancer, some screening steps might help detect a problem early. One sign of pancreatic cancer is diabetes, especially when it occurs with weight loss, jaundice or pain in the upper abdomen that spreads to the back.

The diagnosis of the pancreatic cancer in India is done through certain diagnostic tests that include Contrast Enhanced CT Scan of abdomen, MRCP, blood tests and biopsy. This gives a fair idea to the surgeon about your disease. However surgeon in India may also advise for a PET CT Scan to do the staging of the pancreatyic cancer.

Symptoms & Treatment

Signs and symptoms of pancreatic cancer often don’t occur until the disease is advanced. They may include:

  •  Pain in the upper abdomen that radiates to your back
  •  Loss of appetite or unintended weight loss
  •  Depression
  •  New-onset diabetes
  •  Blood clots
  •  Fatigue
  •  Yellowing of your skin and the whites of your eyes (jaundice)

Treatment for pancreatic cancer depends on the stage and location of the cancer as well as on your overall health.  If your cancer is located in the head of the pancreas, you may consider an operation called a Whipple procedure (pancreaticoduodenectomy). The Whipple procedure is technically difficult operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and part of the bile duct.

Surgery to remove the left side (body and tail) of the pancreas is called distal pancreatectomy. Your surgeon may also remove your spleen. In some case the entire pancreas have to be removed to prevent the cancer from spreading further.

Best Doctor & Cost In India

Pancreatic cancer’s diagnosis is a bit tricky as it is generally misdiagnosed as as acute or chronic pancreatitis. However if diagnosed in time surgery remains the main line of treatment. The surgery can either be a whipple’s surgery or pancreatic head resection or pancreatectomy. The best surgeons for the pancreatic cancer in India are Dr Kaushal Yadav and Dr Ankur Garg. They are specifically GI, pancreatic and hepatobiliary surgeons who specialize in surgeries of GI and pancreatic cancers. They have one of the best success rates among the fellow doctors and thats why they get lots of international patients for cancer surgeries.

Cost of the pancreatic cancer surgery depends upon the stage of the cancer and type of surgery opted for. It is very difficult to give a precise cost for the surgery as it may vary from case to case. However it can approximately range between USD 9000 to USD 15000 with about 10 days stay in hospital and 4 weeks post discharge stay in India. The cost of staying in a decent hotel is approximately USD 50-80 per day for two people in a double occupancy airconditioned room for 2 people. The cost of food and travel is also quite cheap in India.

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Liver Transplant

Liver Cancer

Liver transplant in India is the best treatment option for people who have end-stage liver failure that can’t be controlled using other treatments. Liver failure can occur rapidly, in a matter of weeks (acute liver failure), or it can occur slowly over months and years (chronic liver failure).

Liver failure has many causes, including:

  • Liver Cirrhosis
  • Alcoholic Liver Disease
  • Non-alcoholic Fatty Liver Disease
  • Early Stage Liver Cancer
  • Hemochromatosis
  • Primary biliary cirrhosis
  • Primary sclerosing cholangitis
  • Wilson’s disease
  • Biliary duct atresia
  • Cystic fibrosis.

Liver transplant in India can be done using a living donor or a cadaver i.e. a person who has died and donated his liver. There are very few surgeons and hospitals that perform a cadaver liver transplant and the waiting time is also long in the case of a Cadaver Liver Transplant. Dr Mohammad Rela is one of the topmost Liver Transplant Surgeon in the world when it comes to Cadaveric Liver Transplant Surgery.

The donor in the case of Liver Transplant Surgery in India has to be a family member which means the donor can be from among the parents, children and siblings. In case of the donor being a non family member the association with the patient has to be for a long time and a close relative of the donor must also approve of the same.

Finding the Right Donor

A small percentage of liver transplants are completed each year using a portion of a liver from a living donor. If you have a family member or friend who is willing to donate part of his or her liver to you, talk to your transplant team about this option. However now a days cadaver liver transplant is also being done. Dr Ankur Garg at Nanavati Hospital in Mumbai, India is one of the best liver transplant surgeons in India. He has a very high success rate. The biggest challange that comes in case of cadaver liver transplant is that of the availability. However at Nanavati Hospital, Mumbai the waiting period is around 2-3 months for cadaveric liver transplant.

Living-donor transplants have good results, just like transplants using livers from deceased donors. But fewer living transplants are performed because of restrictions on the donor’s age, size and health that make finding a good match difficult. The surgery carries some risks for the donor. If you’re receiving a liver transplant from a living donor, such as a friend or family member, surgeons will transplant a portion of the donor’s liver in your body. Surgeons first operate on the donor, removing the portion of the liver for transplant. Then surgeons remove your diseased liver and place the donated liver portion in your body. They then connect your blood vessels and bile ducts to the new liver.

The transplanted liver portion in your body and the portion left behind in the donor’s body regenerate rapidly.

Cost of Liver Transplant Surgery in India

The cost of liver transplant surgery in India is in the range of USD 45000-60000 which includes the cost for the donor and the recipient. However the costs could vary depending upon the general health of the recipient and the co-morbidities present. The Cost of Liver Transplant Surgery at Nanavati Hospital Mumbai would be in the range of USD 30000-40000.

Special medications are used more often than not to prevent the rejection of the liver and the cost of these medications are in the range of USD 10000-12000 depending on the brand of the medicine.

The hospital stay for the donor is around 7 days and the hospital stay for the recipient is around 30 days

The patient and the donor both need to be under the observation of the gastroenterologist even after discharge from the hospital to make sure that nothing goes wrong and if there is any kind of problem then it is managed properly and in time to prevent the rejection of the transplanted liver.

There are many touts in the Indian market who would promise to get you a donor for a price, you must stay clear of such people as this is an illegal act in India and both the recipient and the tout could land in trouble. Always approach the hospital directly for Liver Transplant Surgery in India.

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