Care & Cure Clinic

Namaskar!

Main Dr. Sandeep Jha, Gastroenterologist and liver transplant surgeon. Apko aaj liver transplant ke bare me kuch batana chahta hun. Aaj apko liver transplant se related myths bhi clear krunga. First question hai ki cirrhosis ke konse patient ko transplant ki jarurat hoti hai. Agar apko cirrhosis ke severe symptoms hai to apko liver transplant ki jrurat hai.

Iske symptoms kya hain. Pet me pani bharna, behoshi hona, blood in vomiting, cirrhosis se kidney and lungs pe effect hona. Aise symptoms hone se jaldi hi transplant kara lena chahiye. Agar CT scan me liver cirrhosis ke sath cancer bhi hai to apko transplant ki jarurat hai. Liver transplant ke 2 types hain. Living donor and deceased donor transplant. Living donor me apke relative se 60-70% liver nikal ke apme lagaya jata hai. Deceased donor me kisi non-living human body se liver nikal ke mariz me lagaya jata hai. Deceased donor ke lia apko pehle registration kerana pdta hai kyuki government list me jiska name sabse pehle aat hai, use liver pehle milta hai. kyuuki organ donation India me bahut kum hai. Apko 4-6 months bhi liver k liye wait kerna pad sakta hai. Kya cirrhosis se apki jaan ko khtra ho skta hai? Cirrhosis liver failure ka dusra name hai. Liver body me 400 functions kerta hai. Liver failure baki ke organs ko bhi effect krta hai. Jaise kidney, brain, heart, lung etc. Agar apko cirrhosis ke symptoms hain to apki life 1-5 years hi hai.

Agar apko blood in vomiting, kidney failure and brain effect ho rha hai to apki life 1 year me 60% hi reh jati hai. Cirrhosis se liver cancer hone ka risk bhi hai. Kya liver transplant cirrhosis ka successful treatment hai? Iske lia hum ye keh skte hain ki cirrhosis ka ek hi treatment hai jise liver transplant kehte hain. Ye ab tak ka sabse bada operation hai. India me ye operation kafi successful hai. Dusre desh se bhi kafi log aake ye operation India me karate hain. In fact bahar se log donor leke aate hain and 60-70% bahar ke log hi India me transplant kerate hain. Kehte hain ki liver transplant bhut risky surgery hai and kafi costly bhi hai. Ye 90% successful hai. Kuch patients me operation ke baad bhi problem ho skti hai. Agar aap liver transplant nhi krate hain to aap hospital ke chakkar hi katte reh jate hain. Iske alawa mariz apna koi bhi kam krne ke layak nhi bachta hai.

Successful treatment ke baad patient bilkul thik rehta hai. Liver transplant ka khracha kam ho rha hai. As of now iska khracha 18-20 lakhs hai. Or mariz ko har mahine 2-3K medicines me bhi spend kerna padta hai. ye ek myth hai ki transplant ke baad mariz ko ghar se niklna mana hai or kafi problems bhi hoti hain. But aisa bilkul bhi nhi hai. Apko regular medications lena padta hai jo apke blood pressure and diabetes ki medicines ki trha hi hote hain. Or regular check-ups krane pdte hain. Agar aap cirrhosis ke patient hain or apko surgery krnai hai to ek bar liver transplant ke mariz se miliye or uske baad hi apna nirnaye lijiye. agar apko is treatment ke bare me kuch janna hai to aap mujhe Lybrate ke through contact kar skte hain.

Dhanywad.

Hello!

I am Dr. Sandeep Jha, GI surgeon, Nirvan Superspeciality Clinic. Today I will talk about early diagnosis is the key to cure of GI cancer. So, what are the most common GI cancers seen in Indian patients? Who has large intestine, gallbladder, stomach, pancreas, esophagus? Cancer is commonly seen in a patient with liver cirrhosis. Causes are tobacco, alcohol, obesity, chronic inflammation. It can be seen in older age who suffers from significant weight loss means more than 5 kg weight loss in a month or more than 10 kg in 3 months. Living a healthy lifestyle, weight control, weight reduction, a healthy diet can help in preventing GI cancers. 

How to fight with cancer? Early diagnosis is best to prevent cancer. Surgeries are the best way to cure the disease. All cancers are not diagnosed at the early stages. Treatment can be done through chemotherapy and surgical treatment to remove that. CT scan and MRIs are done. Early diagnosis is best defense to prevent certain cancer death. So, what are the risk factors associated with it? Gallbladder cancer is very common in North India. It has a poor outcome. It makes your survival 6 months to 1 year without treatment. Liver cancer is common and it occurs in a patient with chronic liver disease. Colon and anorectal cancer, ulcerative colitis, previous history of radiations are more prone to develop colorectal cancer. Symptoms are change in color of your stool like black, brown or red, poor bowel system, weight loss, lethargy etc. 

Colonoscopy and early diagnosis is essential. The common symptom is difficulty in swallowing and this is termed as dysphagia. If you have symptoms of gastritis or gastroesophageal reflux disease than you are in increased risk of esophageal cancer and same should be ruled out with the timely endoscopy. Pancreatic cancer can be present as jaundice, itching, dark color urine, change in color of stool. To confirm MRI and CT scan can be done. Patient may have anorexia i.e. loss of appetite, weight loss. Patient may see blood in vomiting, numbness and discomfort in upper abdomen. These should not be ignored in elder patient. Diagnosis can be done with biopsy. Endoscopy is a critical factor for diagnosis. Early diagnosis is essential for better survival.

Biopsy confirmation is mandatory. In liver cancer, typical features on CT scan and MRI is enough to proceed with curative surgeries without biopsy confirmation. A message I want to give that early diagnosis is essential, early visit to a doctor is suggested. CT scan and MRI is important for diagnosis on the slighter of suspicious. They will help us to catch the few cancer early and grants survival to the patient.

Thank You.

Namaskar!

Me Dr. Sandeep Jha, Gastro and Liver Transplant Surgeon. Nirvan Superspeciality Clinic ki traf se liver cirrhosis ke bare me kuch btaunga. Iske sath myths bhi me clear krunga. Ye kya hota hai? Hepatitis - B, C, alcohol consumption, obesity, diabetes liver cirrhosis ke causes hain. Agar ye disease 15 years se apki body me hain to ye liver ko damage kr dete hain. Liver failure shuru hota hai. Liver sikud jata hai and hard ho jata hai. Usme blood flow nhi hota or protein nhi bnta hai. Blood purification nhi hota hai. Germs bhi is se nhi jate hain. Ek question hai jo hmesha pucha jata hai ki liver kitna damage ho gya hai. Ye hmesha pure liver ko damage krta hai. Fatty liver ke lia patient puchte hain. Fatty liver bhut common hai but iske lia apko darne ki koi jrurat nhi hai.

Hmare diet me oil and masalon ka bhut use hota hai. Exercise hmare jeevan se khtm ho jati hai. Isi reason se liver pe charbi aati hai. Iske alwa Hepatitis - B, C, alcohol consumption, obesity, diabetes se bhi liver fatty hota hai. Apko immediately treatment lena chaiye. Fatty liver vaise koi problem nhi deta hai but ise 5-10 years me control nhi kia gya to ye cirrhosis me convert ho jata hai. Kya cirrhosis ko roka ja skta hai? Yes, lekin iske lia treatment beginning se bhut jruri hai. Aapko Hepatitis - B, C, alcohol consumption, obesity, diabetes, auto-immune disorder hai to in sab ka treatment bhut jruri hai. Alcohol ka addiction htane ke lia aap counseling le skte hain. Diet control, exercise and bariatric surgery se aap motape pe control kar skte hain. Prevention is better than cure. Apko regular health check-up jrur krana chaiye.

Iske kya symptoms hain? Jaundice, loss of appetite, loss of muscles, itching, peat ke upar khoon ki nason ka dikhna, peat me hernia formation, din me jyada neend aana., less urination, blood in stool, nose and mouth bleeding. Blood in vomiting, unconsciousness, breathlessness ye sare dangerous disease hain. Ho skta hai ki apko liver transplant krna pade. Iske alwa cirrhosis ke mariz ko risk rehta hai. Isko kaise pkda jaye and diagnose kia jaye? Iske lia test hain complete blood count, liver function test, kidney test, ultrasound, endoscopy, CT scan krna jruri hai. Cirrhosis ke mariz me cancer ka bhi bhut jyada risk hai. Jisko CT scan me pkda ja skta hai. Death prevention k lia apko liver transplant ki jrurat pdti hai. Cirrhosis se apki jaan ko khtra hota hai. Sharir ke 500 se jyada kaam liver krta hai. And ye baki organ bhi fail kar skta hai. Jaise kidney, lung, heart and brain. Agr jyada problem ho gyi hai to 1-5 saal hi apki umar bachi hai. Agar aap me aise koi bhi symptoms hain to saal me 60% se hi mariz zinda reh payenge. Agar ye disease advance stage pe hain to 1 saal me 20-30% mariz hi zinda reh payenge. Agar apko stage 3 cirrhosis hai to apko liver transplant ki jrurat hai. Agar apko liver cancer hai to bhi apko liver transplant ki jrurat hai. Agar iske alwa bhi apko cirrhosis ke koi sawal hain to aap mujhe Lybrate ke through contact kar skte hain.

Thank You.