Pancreas & Periampullary Cancers
Types Of Periampullary Cancer
Distal Bile Duct Cancer
Symptoms Of Periampullary Cancer
Periampullary cancers compress the bile duct, obstructing the flow of bile and causing jaundice (yellowing of the eyes and urine). Pale stools and itching are also experienced. Weight loss, loss of appetite, and abdominal pain are also warning signs of periampullary cancer. Furthermore, cancers of the duodenum and Ampulla of Vater cause bleeding, which results in black stools (melena) and anaemia, says the cancer specialist in Kolkata.
Periampullary Cancer Treatment Modalities in Kolkata
Treatment is determined by the stage of the cancer and the severity of the jaundice. Surgery is the safest treatment that should be considered if the cancer is discovered at a point where it can be fully removed. If your jaundice is serious, the best cancer surgeon in Kolkata may treat it with endoscopic retrograde cholangiopancreatography (ERCP) and stenting before surgery.
If your tumour is advanced, he can recommend neoadjuvant treatment (chemotherapy or chemoradiotherapy) to shrink the tumour before resecting it to lessen the risks.
An effort is made to downstage unresectable tumours to a stage where they can be surgically removed. Neoadjuvant therapy is given, and some of these patients will be able to undergo surgery.
Surgical Removal Of Periampullary Cancer
The Whipple operation, also known as pancreaticoduodenectomy, is a surgical procedure used to remove periampullary cancer. The head of the pancreas, in addition to the duodenum, bile duct, gall bladder, a portion of the liver, a small portion of the small intestine, and neighbouring lymph nodes, are removed in this procedure.