hello viewers welcome to doctors Channel three dr. Mustapha is with us hello
Doctor hello madam it's pleasure having you on program thank you so today we are
going to talk about GI cancers doctor could you say something about Kansas
Kansas is proliferation of unorganized and uncontrolled proliferation of the
tissue anywhere in the body most of the time you see there are like our weight
into ten to the power of nine billion cells in our body so every cell grows
new cells come in the place of old sins and the old cells die so this is a
strictly tightly controlled mechanism in our body with a lot of factors which are
required to control this organize this and you can understand that the number
of cells which are involved in this as I told you it is our weight into 10 to the
power of nine billion cells are there in the body so what happens is sometimes
this tightly regulated process goes haywire sometimes what happens is the
factors which are responsible for the proliferation of the cells or the
factors which are responsible for the inhibition of this proliferation of
cells there will be actually a balance between these two factors sometimes
there will be a Mis balance or there will be imbalance will be there so what
will happen is because of there because of that there will be rapid
proliferation of the cells that is called cancer so these unorganized
uncontrolled proliferation of the cells in our body happened nearly very
frequently in our body but those unorganized uncontrolled proliferation
is will be checked by our body itself sometimes what happens is this process
which is not checked by the body so these unchecked process where rapid
proliferation of the sense is that that is called cancer so it can happen
anywhere in our body and since I'm a gastrointestinal surgeon I deal with the
cancers which involve the gastrointestinal tract are there any
types doctor yeah it depends on the part of the body which is involved like
suppose in gastrointestinal symptom gastrointestinal surgery you are having
the esophagus is a facial cancer as we are having the stomach stomach cancers
hepatocellular cancer pancreatic cancer you are having colorectal cancer we
having retroperitoneal cancer colon cancer so we will be dealing with all
these cancers and off late the there is why isn't the incidence of cancers and
the projection is that by 2030 the most common killer is going to be road
traffic accidents and followed by cancer doctor what are the common cases you
come across from these days yeah among the J cancers we usually come across
colorectal cancer and pancreatic cancer because the incidence of these two
cancers is on the up foot trend and the reason is the Western like diet what we
are taking the low residue I can you eat diet what we take smoking alcohol and
less physical activity because of this the incidence of pancreatic cancer and
colorectal cancer is on the upward trend what are the other common causes of this
doctor the other common causes of pancreatic cancer is like it could be
hereditary and chronic pancreatitis then smoking then alcohol then diabetes
whether diabetes causes pancreatic cancer or pancreatic cancer leads to
diabetes is a there is a dilemma but there's some studies which show that
people who are having diabetes are more prone towards having a pancreatic cancer
in the future what are the symptoms doctor symptoms pancreatic cancer is
again divided into a initial stages and lead stages most of the patients were
having initial stage of pancreatic cancers are asymptomatic and then how do
we like you can suspect that the particular patient is having a
pancreatic cancer is most of these patients will have in origin that means
they will not feel hungry and they will be having some allies they will feel
tiredness and they will not feel hungry basically and then after that there will
be a recent onset of diabetes mellitus or the patients who are already having
diabetes their diabetes will worsen that is the requirement of oral hypoglycemics
will increase or they might need to take even insulin or the patients who are
already on insulin the dose will increase so lack of appetite and weight
loss these missions will be having significant weight loss in a couple of
months they might lose around like five to 10 kgs of weight
apart from that then when the these early stages of cancer come on to the
late stages of cancer the patient might have abdominal pain
they might have jaundice and then they might have severe weight loss they might
have Pro riotous or itching all over the body well there are a variety first
stations and these are the typical symptoms what you see John is in Peru
right is in the pancreatic cancer involving the head of the pancreas
whereas if you take the pancreatic cancer which involves the body and tail
most of the times it will be asymptomatic even it becomes very big
and metastasize also these cancers usually are detected in late stages the
only symptom which causes the patient to consult a doctor especially in the
initial stages is again as I told you in earlier will be their malaise will be
there some easiness some abdominal pain will be there but once these cancers
grow bigger in size then they metastasize then patient can have pain
and they can have jaundice doctor what are the diagnostic methods are there for
this yeah these patients will come with this particular set of complains where
in whom we think that the patient could be having another line magnetic cancer
or some malignant etiology is there so in these patients the first
investigation what we are there is an ultrasound of the one so in that we will
have some picture what is there any lump is there inside any tumor is there
inside or anything suspicious which is there inside so in these patients in
home ultrasound picks up some abnormality then we order a CT scan of
the abdomen or depending on circumstances we might even order an MRI
of the abdomen or MRCP in that we will pick up an elysian or any cancer which
is there in the pancreas and what is the stage also we will be coming to know
what stage it is is it it is an early stage or whether there are some
metastases inside the abdomen so the usual investigations which are usually
ordered in this patient say starts from an ultrasound and then goes to a CT scan
and depending on circumstances an MRI and then again depends if we want a pre
surgical or suppose a biopsy then we can even order an endoscopic ultrasound with
an F and SC on so which is usually not required a CT scan will usually do most
of the things and it picks up not even the tumor and it also picks up the stage
of the disease own doctor what are the treatment options we have in this C once
for diagnosis of primary in a CT scan then we staged a also the
tumor in a CT scan itself and then depending on the staging whether it is
an early stage whether it is amenable to surgery or whether the pancreatic cancer
has metastasized our treatment depends on that method the tumor is like suppose
the early-stage tumor it is amenable to surgery attack then depends when there's
a tumor is there in the head of the pancreas whether it is in the body and
tail of the pancreas if it is an early-stage tumor and if it is there in
the head of the pancreas then that patient might require a pulse
pancreaticoduodenectomy and if it is in the body and the thing in the patient
might require it is still my corrected victim these are the surgical options
where as in those patients in whom the tumor has metastasized beyond the
pancreas or the patients in general condition is not fit so that he can
withstand a prolonged surgery or the patient is very friable patient in who
despite the tumor being operable he might not withstand an ordinary in those
patients we usually palliate that patient in the form of a chemotherapy
and we also palliate the pain and the joint is what the patient is having so
these are the palliative methods that chemotherapy violation of pain valuation
of jaundice these are usually done for those
patients who are having a metastatic tumor doctor does everybody needs
surgery not that is what I say patients who are in the initial stage who are
amenable to surgery in those patients will usually require surgery those who
are already having metastatic tumor and those patients in whom general condition
will not entail they might not tolerate an arts major surgery in those patients
we don't go for surgery we will go for the other palliative methods like
control of pain treating the pain treating the joint is what the patient
is having or treating any gastric outlet obstruction some patients because of
pancreatic cancer they might that stomach outlet might become narrow so
those patients will be having vomiting so we will we palliate all those
patients so these patients who are having metastatic disease usually we
don't go for surgery they go for all this panic a doctor would you like to
give any take-home message for us yeah take-home message I want to just
summarize what I have told you till now the first thing is the magnetic cancer
is having more incidences those people or
having a family history of pancreatic cancer whose moko take alcohol and who
are having less physical activity and were patients were having diabetes
mellitus so these patients usually are having high incidence of pancreatic
cancer that does not mean that those patients are not having all this cannot
develop a great cancer even those patients can also have
pancreatic cancer but the incidence of pancreatic cancer is more in these
patients so once any like patient is having anorexia people who are not
feeling hungry or having sudden weight loss and which is not not explainable
and there is recent onset of diabetes mellitus immediately you should consult
a doctor so that your doctor can scan you go for an address on CT scan and
diagnose what the underlying condition is and once a pancreatic cancer is
diagnosed it depends again that treatment depends on the stage if the
cancer is in the early stage it will be usually amenable to or usually we can go
for a surgery and the long term prognosis will be relatively good
whereas those who are having metastatic disease the prognosis though the
prognosis is not good but off late there are a lot of new chemotherapeutic drugs
who are like coming which can have definitely some impact on the patient
and we can give a good quality of life too even in those patients thank you
doctor thank you minute I hope you found this video useful so don't forget to
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