Dr Pradeep Jain

 Dr Pradeep Jain has years of expertise in Gastroenterology and Bariatric Surgery. He has earned his M.s (surgery) and M.ch in Gastrointestinal and Hepatobiliary surgery. Presently Chief of Department of GI and GI Oncology, Bariatric & Minimal Access Surgery at Action Cancer Hospital & Sri Balaji Action Medical Institute, New Delhi.  

[drpradeepjainreviews]

Laparoscopic Thoracoscopic Ecophagectomy

Laparoscopic and Thoracoscopic Esophagectomy –

A fifty five year male patient presented with complain of dysphagia (the feeling of food getting stuck several secondsafter swallowing, initially for solid food progressing to inability to eat even solid and liquid diet) was presented to our department of laparoscopic GI & GI OncoSurgery :

Dr. Pradeep Jain and Dr Ashish Bhanot. Patient was evaluated carefully and thoracoscopic Esophagectomy was performed. Laparoscopic mobilization of stomach and thoracoscopic mobilization of esophagus was performed and stomach tube was created and brought out through cervical incision and anastomosis of cervical esophagus was performed in neck. The procedure was performed without any major incisions on chest and abdomen. Patient was able to walk very next day and recovered very well without any significant pain and other surgery related complications.

Esophagectomy is the partial or complete surgical removal of the esophagus. It is most often performed to remove esophageal cancer or benign lesions. Often the procedure follows courses of chemotherapy and radiation, which might also be continued postoperatively. For decades; surgeons have approached this procedure via open thoracotomy, a large incision in the chest. Via open or laparoscopic approach, this surgery and anesthetization is complex because of the anatomical structures involved. Depending on the length of esophagus to be removed stomach tube or colon is mobilized to make a tube and esophagogastrostomy or colonic transposition is performed. Procedure carries high morbidity because of multiple large incisions causes’ severe pain and take long time to heal in debilitated patients who are already down in health because of cancer. Thoracoscopic esophagectomy is routinely performed by our GI Surgery team and has markedly reduced morbidity in esophageal cancer surgery.

Our GI & Bariatric Surgery experts Dr Pradeep Jain & Dr Ashish Bhanot are also performing laparoscopic colorectal cancers, Bariatric, Pancreatic cancer surgery as well hepatobiliary and other GI surgeries by minimally access surgery techniques.

Details @ http://www.drpradeepjain.org

[drpradeepjainreviews]

Dr Pradeep Jain - Gastroenterology and Hepatobiliary Surgery Expert

Dr Pradeep Jain - Cheif of Department of GI, Dr. Pradeep Jain is one of the few GI surgeons who have made a reputed name for themselves in the field of GI Oncology, Bariatric & Minimal Access Surgery. Having years of experience as an expert GI surgeon, he has also treated almost all types of gastrointestinal issues with a great success rate. Dr Pradeep Jain is graduated from famous Maulana Azad Medical College, Delhi and earned his master from the same university. He went then for advanced training in Laparoscopic Colorectal Surgery from South area. Further he completed a dissertation entitled "Choledochal Cyst" from GB Pant Hospital Department of Gastrointestinal Surgery. Dr Pradeep Jain, the Chief of Department of GI at Action Cancer Hospital & Sri Balaji Action Medical Institute, has the wide spectrum of advanced laparoscopic surgery in GI surgical field.

[drpradeepjainreviews]

Dr Pradeep Jain - Best GI Surgeon In India .

[drpradeepjainreviews]

Stomach Cancer Treatment By Dr. Pradeep Jain , Delhi

Stomach Cancer Treatment By Dr. Pradeep Jain , Delhi

Stomach cancer, or malignant tumors of the lining of the stomach, have seen an overall decrease in recent years, says Dr. Pradeep Jain at Action Cancer Hospital, but researchers nonetheless see over 21,000 new cases and 15,000 deaths per year in the United States alone. There are different types of stomach cancer, which are classified according to the type of tissue in which they originated. Adenocarcinoma is the most prevalent type; this originates in the glandular tissue and accounts for over 90 percent of all stomach cancers. Other types of stomach cancers are lymphomas (involving the lymphatic system) and sarcomas (involving connective tissues like blood vessels, muscle, or fat). Dr. Pradeep Jain, explains that Early detection is vitally important in stomach cancers, as cure rates are extremely high when these cancers are caught early – but drop dramatically when the cancer is at an advanced stage when found. Stomach cancer, unfortunately, is most frequently not found until it has advanced considerably. It is usually impossible to pinpoint the exact cause of stomach cancer, but several factors are known to increase the risk. For example, men get more stomach cancers than women, and Asian and African American people have a higher risk than other races. A genetic link is undoubtedly present in many cases, and having a family member with stomach cancer can double or triple your risk. Your age matters, too; the highest-risk age is 70 for men and 74 for women. Stomach Cancer Treatment By Dr. Pradeep Jain, Action Cancer Hospital, Delhi - Dr. Pradeep Jain is well renowned Gastroenterology surgeon with wide experience in Gastrointestinal and Hepatobiliary Surgery. Many stomach cancers are probably caused by lifestyle factors like smoking, drinking alcohol heavily, and consuming a diet low in fiber and high in salt (including salt- or nitrate-preserved foods such as smoked meats or other foods high in salt). H. pylori bacteria, the bacteria often blamed for ulcers, is a known risk factor for stomach cancer. Finally, exposure in the workplace to certain agents like asbestos can greatly increase a person's stomach cancer risk. Dr. Pradeep Jain, at Action Cancer Hospital explains that Early detection is vitally important in stomach cancers, as cure rates are extremely high when these cancers are caught early – people should be on the lookout for symptoms and report them at once to their doctors. Early on, there may be no symptoms at all – one of the reasons stomach cancers are so often found late. However, there are some early symptoms that should alert you that something could be wrong, such as indigestion, a bloated feeling after eating, nausea, and loss of appetite. Often people write these symptoms off as acid reflux or simple heartburn rather than seeing their doctors for a proper diagnosis. At this stage, you have the greatest chance of successful treatment, so it's important to be proactive and make an appointment to see your doctor.

Details @ http://www.drpradeepjain.org/

[drpradeepjainreviews]

PREPARING FOR LAPAROSCOPIC SURGERY BY DR PRADEEP JAIN

Dr Pradeep Jain — Laparoscopic surgery is a form of minimal access surgery, which involves making a very small incision on the body of the patient and using a thin and lighted tube to pass through this incision, in order to perform the procedure. The most common problem where this procedure is used is for abdominal disorders like gall bladder stones and gynecological troubles in women such as fibroids and cysts in female reproductive organs. Laparoscopy surgery has become a feasible alternative to open surgeries as well as laparotomy surgeries, which involve larger incisions in the abdominal areas. The treason for popularity of laparoscopy is that it is less complicated and expensive as compared to conventional surgery as there is no hospitalization required in such cases and wherever required, the length of hospital stay is very short. Additionally, the surgery is less painful and complicated and the recovery time is much shorter than conventional techniques. Preparation of Laparoscopic Surgery Though laparoscopic surgery is a simple and easy procedure, still some preparation is needed for making it a success. Here are some tips to prepare yourselves for a laparoscopic surgery in india: 1. Being armed with proper knowledge and information about the procedure is the first step for being prepared for it. The patient has full right to ask all kinds of questions from his surgeon, as well as clarify his doubts before the surgery is performed. Proper understanding will remove his phobia and make him more comfortable about the surgery as well as confident about the doctor who is going to perform it. 2. They should also inform the surgeon about all the medical conditions he is undergoing such as diabetes and hypertension. The surgeon also needs to be informed about the medication he is taking regularly, such as aspirin, which may hamper the blood clotting process after the surgery. This will enable the doctor to tackle any complications which may surface during the surgery. 3. The patient must not eat or drink anything at least eight hours before the surgery, as in case of other types of surgeries. The operation is done under anesthesia and the patient must also discuss the possibility of drug allergies with the anesthesiologist. 4. Another thing which the patient needs to take care of on the day of the surgery is not to wear any valuable jewelry as it has to be taken off during the process. Also, he needs to take off stuff like dentures, contact lenses and glasses during the procedure. 5. Finally, the patient must take into consideration that fact that laparoscopic surgeries are mostly done on outpatient basis and he is most likely to be discharged on the same day. Since the patient might not feel strong enough after the surgery, he must arrange for a friend or family member to drive him home after the procedure is completed. In a nutshell, laparoscopic surgery is a much simpler process for the patient as it offers very speedy recovery. But being well prepared can make things even easier for the patient. Dr. Pradeep Jain has wide experience of GI, GI Once and Minimal Invasive Surgery. Details @ http://www.dr-pradeep-jain.in/

[drpradeepjainreviews]

CARCINOMA ESOPHAGUS – ESOPHAGEAL CANCER TREATMENT By Dr Pradeep Jain

ESOPHAGEAL CANCER TREATMENT By Dr Pradeep Jain

Carcinoma Esophagus

The esophagus is a muscular tube also known as food pipe in general public transmits food material from mouth (base of pharynx) to the stomach. Carcinoma of esophagus is one of the deadliest malignancies of human body. The incidence of this malignancy is increasing in general population due to life style modification as well as changes in environment.

Carcinoma of esophagus is divided into two types –

1. Squamous cell carcinoma – Cancer that forms in tissues lining the esophagus. Mostly found in upper and middle 1/3rd of esophagus. Incidence increases with age with most common age group between 55-60 years with male preponderance.

2. Adenocarcinoma – cancer that begins in esophageal lining cell that secret mucus. Most commonly found in lower esophagus and at the meeting point of esophagus and stomach. Commonly presented in patients with age group 50 years or younger.

Risk factors for Esophageal malignancy –

1. Smoking and alcohol – smoking for a long duration and chronic alcohol consumption

2. Esophageal inner mucosal lining damage from physical agents –

long term ingestion of hot liquids

caustic ingestion (corrosive poisoning)

radiation induced damage

3. Carcinogens in food and water – nitrates, nitrite, nitrosamine, smoked opiates, fungal toxins in pickled 4. Obesity – increased risk for adenocarcinoma of esophagus. Incidence of gastroesophageal reflux increased in obesity due to lax lower esophageal junction to stomach which leads to Barrett’s esophagus. If condition is not reverted with time Barrett’s esophagus turns into malignancy. 5. Chronic iron deficiency anemia in females leading to plummer Vinson Syndrome 6. Congenital hyperkeratosis of palms and sole 7. Helicobactor pylori infection 8. Achalasia Cardia – long standing 9. Dietary deficiencies of molybdenum, Zinc, Vitamin A

Symptoms of esophageal malignancy

1. Dysphagia – Dysphagia is the most common presentation. Patient may have difficulty in swallowing of solid food in early stage of disease and solid as well as liquid food in the late stage of disease. 2.Weight loss – recent onset and significant. 3. Coughing and choking during meal. 4. Change in voice – hoarseness. 5. Weakness and easy fatigability. 6. Pain behind sternum – occasional 7. Heart burn and reflux 8. Malena and sometimes haematemesis.

Diagnosis of esophageal malignancy

The patient is evaluated on the basis of history, symptoms and clinical signs. Along with routine blood test and X-ray some endoscopic and radiological investigations are done which include –

1. Barium sallow x- ray – thin barium is allowed to shallow and x-ray of esophagus taken. This shows the site and outline of tumor.

2. Endoscopy – the endoscope is passed through mouth to esophagus to see the inner lining of esophagus and tumor. If it shows any abnormal growth then a small piece of tissue from the growth is taken for confirmation of the diagnosis. These tissues are examined under a microscope for the presence of cancer.

3. Bronchoscopy – in cases of advanced tumor arising from upper ½ of esophageal an endoscope is passed into trachea (wind pipe) to rule out local spread of the tumor to lungs

4. Endoscopic Ultrasound – for early tumor endoscopic ultrasound is passed in esophagus to find out local spread of tumor.

5. For tumor staging radiological investigation like computed tomography (CT) scans of chest and abdomen and positron emission tomography (PET) scan are performed to determine outer spread of esophageal tumor to surrounding vital organs and distant spread to other organs.

6. Thoracoscopy and Laparoscopy – By this methods detection rate of lymphnodal and distal spread of esophageal malignancy is high.

Staging of esophageal tumors

Staging is a way of describing where the cancer is located, if or where it has spread, and whether it is affecting other parts of the body.

According to AJCC Cancer Staging Manual, Seventh Edition (2010) cancer growth and spread can be staged by TNM system

Tumor (T) – means how deep the tumor has grown into the wall of the esophagus

Node (N) – tumor spread to lymph nodes

Metastasis (M) – metastasis (distal spread) to other part of the body

Based on combined results of T, N and M staging of cancer determined.

Tumor (T) is classified into TX: tumor cannot be evaluated T0: cancer is not detected in the esophagus Tis: this is also called carcinoma in situ that means very early cancer T1: tumor spread to the lamina propria and submucosal layers of esophagus T2: tumor spread to muscular is propria T3: tumor spread to the adventitia, the outer layer of the esophagus T4: tumor has spread to surrounding structures of the esophagus, including the aorta, pericardium, large blood vessel, trachea, diaphragm, and pleural lining of the lung

Node (N) : N stands for Lymph nodes. Lymph nodes close to esophagus is called regional lymph nodes and those located in other part of body are distant lymph nodes. NX: lymph nodes cannot be evaluated N0: cancer cells not detected in lymph nodes N1: cancer cells has spread to 1-2 lymph nodes in the chest, near the tumor N2: cancer cells has spread to 3-6 lymph nodes in the chest, near the tumor N3: cancer cells has spread to 7 or more lymph nodes in the chest, near the tumor

Distant metastasis (M):

this indicates whether the cancer cells has spread to other parts of the body MX: Metastasis cannot be evaluated M0: cancer cells has not spread to other parts of the body M1: cancer cells has spread to another part of the body

Grading of esophageal tumor

G1: well differentiated G2: mildly differentiated G3: poorly differentiated G4: not differentiated

Esophageal Cancer stageing

There are separate staging systems for both squamous cell carcinoma and adenocarcinoma of esophagus.

Staging of squamous cell carcinoma of the esophagus

Stage 0: Tis, N0, M0

Stage IA: T1, N0, M0

Stage IB: T1, N0, M0 T2 or T3, N0, M0

Stage IIA: T2 or T3, N0, M0 T2 or T3, N0, M0

Stage IIB: T2 or T3, N0, M0 T1 or T2, N1, M0

Stage IIIA: T1 or T2, N2, M0 T3, N1, M0 T4a, N0, M0

Stage IIIB: T3, N2, M0

Stage IIIC: T4a, N1 or N2, M0 T4b, any N, M0 any T, N3, M0

Stage IV : any T, any N, M1

Staging of adenocarcinoma of the esophagus

Stage 0: Tis, N0, M0

Stage IA: T1, N0, M0

Stage IB: T1, N0, M0 T2, N0, M0

Stage IIA: T2, N0, M0

Stage IIB: T3, N0, M0 T1 or T2, N1, M0

Stage IIIA: T1 or T2, N2, M0 T3, N1, M0 T4a, N0, M0

Stage IIIB: T3, N2, M0

Stage IIIC: T4a, N1 or N2, M0 T4b, any N, M0 any T, N3, M0

Stage IV : any T, any N, M1

Treatment of Esophageal cancer

Patients with esophageal cancer are managed based on its staging. Overall general condition of the patients affects management.

Stage I –

Tis and T1aN0 stage – Endoscopic therapy like mucosal resection or submucosal dissection with the help of endoscopic ultrasound (EUS),

Photodynamic therapy, Radiofrequency ablation T1b N0 & T2 N0 stage – Surgery (esophagectomy) to remove the part of esophagus that contains the cancer

Stages II-III –

Chemoradiation followed by surgery (trimodal therapy) Patient with squamous cell carcinoma with well preserved general condition chemotherapy and radiotherapy started before definitive surgery. Patients with adenocarcinoma of lower end esophagus where stomach meet (gastroesophageal junction) are only chemotherapy is given before surgery. For smaller tumor (< 2 cm) only surgery is advised. Patients with serious co-morbidities who are not candidate for surgery are managed with chemoradiation.

Stage IV –

Chemotherapy/ Radiotherapy or symptomatic and supportive care Treatment is given only for palliation to relieve the symptoms like pain, difficulties in swallowing etc.

Esophageal stenting (plastic/metallic) is done in situations where the patient is totally dysphagic and having esophagobroncheal fistula. Patient who are unable to tolerate oral feeds a nasogastric tube may be required to continue feeding. Some times gastrostomy/jejunostomy tube is required where patients become intolerant to nasogastric tube or tend to aspirate food. Laser therapy is done in cases in which esophagus is totally occluded by cancer and the cancer cannot be removed by surgery. The relief of a blockage by laser can help to reduce dysphagia and pain

Chemotherapy:

Chemotherapy may be given after surgery (adjuvant) to reduce risk of recurrence or before surgery (neoadjuvant) to down stage the disease. Chemotherapy is cisplatin-based (or carboplatin or oxaliplatin) every three weeks with fluorouracil (5-FU) either continuously or every three weeks. Recently epirubicin regimens is used in advanced nonresectable cancer. Patients with adenocarcinoma with HER2 positive treated with targeted targeted therapy like trastuzumab.

Radiotherapy :

Radiotherapy is given before, during or after chemotherapy or surgery. It is also used in palliation to control pain.

Surgery is contraindications in following situation :

1. Locally advanced cancer engulfing adjacent vital structures like trachea, lung, pericardium, aorta recurrent laryngeal nerve 2. Esophageal Cancer with wide dissemination ( metastasis) to distant lymph nodes and vital organs 3. Severe co-morbidity involving cardiovascular and respiratory system

Surgical options :

Surgery is performed by either open or minimal invasive method depending upon patient’s general condition and availability of experts. Now a days minimal invasive approach of esophagectomy has become very popular among surgeons because of low surgical morbidity, short hospital stay and similar onchological outcomes.

Types of esophagectomy-

1. Transhiatal esophagectomy (THE) 2. Transthoracic esophagectomy (TTE) – thoraco abdominal Mc Keown’s & Ivor Lewis esophagectomy

In thoracoabdominal approach – both the abdominal and thoracic cavities opened together.

Ivor Lewis esophagectomy – two-stage approach involves an initial laparotomy and construction of a gastric tube, followed by a right thoracotomy to excise the tumor and create an esophagogastric anastomosis

McKeown esophagectomy – three-stage approach which include incision in the neck to complete the cervical anastomosis.

Details @ http://www.dr-pradeep-jain.in/

[drpradeepjainreviews]

Dr Pradeep Jain -Weight Loss Surgery or Bariatric Surgery

Weight Loss Surgery or Bariatric Surgery

Bariatric surgery refers to the treatment of obesity. It is the best possible approach for those who cannot lose weight through exercise and diet alone. Being obese can invite number of health issues including high blood pressure, diabetes, joint problems and sleep apnea. Losing weight through surgical option typically results in dramatic and quick weight loss and significantly decreases the obesity related health issues like diabetes.

There are number of surgical procedures available to achieve weight loss. Dr. Pradeep Jain at Fortis Hospital specialized in bariatric surgery or weight loss surgery such as Laparoscopic Gastric Bypass, Laparoscopic Adjustable Gastric Banding and Laparoscopic Sleeve Gastrectomy.

After going through your medical history and diagnosis report, Dr Pradeep Jain Fortis Hospital will recommend an appropriate weight loss surgery.

Precautions after weight loss surgery

You will on liquid diet for about 2 weeks

You need to eat small meals, slowly and chew properly

You need to maintain adequate hydration

You must take daily recommended vitamin supplements

Some may experience hair thinning that can improve by the adequate intake of protein and biotin supplements.

You must do daily workout and must make right choice for your diet to ensure not to regain more weight

You must regular follow up with your doctor, at least visit once in 3 months.

Laparoscopic Surgeries

Dr. Pradeep Jain is an experienced and specialized laparoscopic surgeon using high definition technology and precision equipment to perform laparoscopic treatments of gastrointestinal tract. Having years of experience and knowledge means better results for patients. Unlike conventional open surgeries, the laparoscopic surgeries involve:

Early discharge from hospital

Speedy recovery and early back to work

Less pain

Remarkably reduced bleeding

Smaller or fewer scars

Dr. Pradeep Jain Fortis Hospital Review performs several kinds of laparoscopic surgeries including:

Laparoscopic Esophagectomy Surgery: The laparoscopic esophagectomy surgery is a minimal invasive surgery used to remove part or all esophagus due to the presence of cancer in it or also done for other non- cancerous conditions that makes esophagus non- functional. Esophagus is a tube presents in the throat and allow food to pass through it to stomach. After its removal, the esophagus is rebuilt from the part of large intestine or stomach. During the surgery, esophagus and stomach both are mobilized and doctor cut your stomach into the tube shape with the help of surgical staples. Several other ways are also available to perform this surgery Dr Pradeep Jain Fortis Hospital will recommend you which is best for you.

Laparoscopic Pancreatic surgery: Pancreatic surgery involves removing part or all of pancreas however, there are three types of surgery used to remove tumor of pancreas depending on the individual condition. Dr. Pradeep Jain Fortis Hospital performs whipple procedure for pancreatic, duodenal cancers or bile duct. He also performs laparoscopic distal pancreatectomy for pancreas cancer, pseudocysts and chronic pancreatitis or pancreatic cysts. Additionally pancreatic necrosectomy is done either by retroperitoneal or transperitoneal approach.

Laparoscopic Colorectal Surgery: Laparoscopic colorectal, hemicolectomy, APR and anterior resection is done for cancer of colon or rectum. The laparoscopic technique to treat these cancers are almost become a standard if performed by trained, professional and experienced surgeon like Dr. Pradeep Jain Fortis Hospital. The result of the procedure is same as of conventional open surgery however, complications and recovery are lower. Other indications include surgery for inflammatory bowel diseases such as colonic tuberculosis and rectopexy.

Laparoscopic Liver Surgeries: The laparoscopic liver surgeries are most commonly recommended for the presence of mass like abnormal growth and tumor. The liver surgeries are feasible with laparoscopic techniques but demanding technical expertise Dr. Pradeep Jain Fortis Hospital. The surgery can be done for primary and secondary tumors, cysts and hemangiomas etc.

Gastro-Intestinal Cancers

The term Gastro-Intestinal Cancer is refers to the cancer group that affect the human digestive system including gallbladder, stomach, liver, pancreas, oesophagus and bowel. It is the most common form of cancer and do not segregate between women and men. Just like any other health issue, the treatment for GI cancer will major depends on the cancer type, its stage and other health factors.

Although there are no specific symptoms that directly points towards cancers, some strong indicators include sever loss of weight and appetite, lump in abdomen, intestinal obstruction in elderly, alteration in bowel habits, prolonged bleeding from the GI tract and sudden detection of diabetes with weight loss etc.

Dr. Pradeep Jain Fortis Hospital is a specialized and experienced Gastro-Intestinal surgeon performing

Colo Rectal Cancer

Gastric cancers

Pancreatic cancers

Liver cancer

Details @ http://dr-pradeep-jain.in/

[drpradeepjainreviews]

Importance of Finding an Oncology Specialist by Dr Pradeep Jain Review

Dr. Pradeep Jain Reviews - Cancer is a tough battle to wage, but you can turn things in your favor by finding the right doctors and specialists to help you fight the disease and win against it. The fact is that the choice is not just concerned to an oncologist, but a whole team of specialists such as surgical oncologist, radiation oncologist and medical oncologist, who look after the areas of surgery, radiation therapy and medication and cancer therapy respectively. Some other people involved in cancer treatment are dieticians, nurses and therapists, to name just a few. The most important thing is that all these people need to work together as a team, which is usually made available by specialized institutes dealing with treatment of this deadly disease.

Why is it important to find an oncology specialist?

Cancer is a complex disease, with a treatment that is even more complex, requiring a combination of therapies such as surgery, chemotherapy, radiation and medication. A trained and experienced oncologist is the one who is totally equipped to handle the complexities of the disease as well as its treatment for his patient. These specialists have specializes skills as well as judgment needed for carrying out the treatment process. Oncologists may deal with special types of cancers, such as those of breast, liver, ovaries, uterus, pancreas and colon, and accordingly they are suitable for treatment of the patients suffering from that kind of cancer.

In fact, an oncologist specialist is just the right person to decide the line of action to be taken for regulating the treatment of a patient. They take into consideration the factors like the exact stage of the disease to evaluate whether the patient requires one treatment technique or other, or a combination of them, as in surgery followed by radiation and chemotherapy, so that the disease tumors are removed and also the chances of it spreading out to other organs are completely minimized. Choosing the right oncologist specialist can also help the patient get such an expert who can handle all the procedures on his own or with the help of a team he is already comfortable working with. This increases the chances of success in beating the disease as the oncologist takes the case with great deal of confidence and positive attitude. Besides helping the patient with fighting the disease and eradicating it completely, these specialist doctors can also educate them regarding the long term implications and after effects, along with the changes they might have to make in their lifestyle for sustaining a healthy life after recovery.

Choosing an Oncology Specialist

While choosing an oncologist specialist for his treatment, a cancer patient must make sure that he is comfortable with the doctor and his team. He can consult his family physician for advice in this regard. People with similar conditions and support groups can also be contacted for referrals. They can also check out websites and internet sources to find reputed and reliable treatment options in their local area.

In this way, a wise choice of the right oncologist can act as a positive approach against tackling the fatal disease called cancer.

Dr. Pradeep Jain Reviews has long record of successful GI surgery and a large number of satisfied and happy patients.

[drpradeepjainreviews]

Dr. Pradeep Jain - Before Knowing the remedy know the reason of Obesity?

Dr. Pradeep Jain Reviews - Over the world, 70% of the people, now, obsessed with obesity and the numbers of those people are also increasing rapidly. Basically, obesity is a problem which shows the results of excess fat in the body. It may be a reason, but the real fact behind this problem is having an irrespective meal or diet and anybody could be obsessed with obesity either a man, woman, child or any teenager. The issue of obesity has been too much critical, especially in metropolitan cities rather than in villages or rural area and the vital reason refers to their lifestyle & food habits. That’s why the problems related to obesity is very low than the modern cities.

Generally, at the first level people ignore it until that doesn’t go to the worst situation, so better to find out the issues of obesity rather than remedies. There are few reason by knowing them you can know that why & when it gets increase and the one advantage to know the reasons is that you can also decrease or stop this disease. Such reasons are like,

Following pathetic lifestyle: Nowadays, we are following a life where no discipline is followed, we have no time to think about ourselves and cause of that our life has been too hectic instead of living a simple life. We almost just want to accumulate all the luxuries things at any how and that’s never matters that we are doing sacrifice all our peace, sleep, mind, family, freedom, enjoyment, etc. we always be in a hurry and try to be like multitasking and the worst impact of this habit is we can never ever concentrate upon one thing easily. Living this life make our body attract towards several of the problems.

Unbalanced diet: In this tradition people are attracting towards junk food like while traveling, we give the preference cold drink instead of water as well as spicy food, processed food, ice cream, western snacks, deep dry food and many more. In fact, some fat diets like wafers, chocolates, sweets and some high carbohydrate foods also like potato, rice, pasta are also given the preference by us and these all diets are the reason of excess fat on body. Even, sometimes we eat too much than we are required, the amount that is really cause of obesity.

Lack of exercise: some people may not know that having exercise or yoga in our routine develops the necessary hormones and also gives flexibility to our body. Actually, our body follows a circle like when we eat something that is converted in calories and through exercises or doing yoga the extra calories burn cause of that it doesn’t deposit as fat, but if we don’t accept physical exercise in our routine then it can cause of obesity.

Medical reason: There are some medical issues which are also the reason of obesity, whether you follow the exercise or have a proper & hygienic diet and these conditions are like thyroid, neurological problem which may the cause of obesity.

By Dr Pradeep Jain

[drpradeepjainreviews]

Dr Pradeep Jain - The Things as a Remedy to Colorectal Cancer

Dr. Pradeep Jain - This cancer, also known by different names as colorectal, bowel and stomach cancer, is getting too dangerous and because of not spotting in its first stage, many people are suffering from it. However, every kind of cancer is the cause of distress but nothing could be solved without any remedy of the disease and because the cure of this cancer is significantly less than others so that keep following to every step of awareness, you can get rid of it.

However, no particular sign or symptoms can identify this disease, but it has some symptoms, which directly point towards cancer, and you can take an action as soon as possible. These signs are

• Difficulty in swallowing • Loss of appetite or energy • Phenomenal weight loss • Bleeding in stools • Bloating in stools • Extreme cramp pain in stomach

Can be develop in some condition

Whether this cancer is dangerous, but there are some level in that it can be developed to its upper level like if your age is more 48 then it may be difficult to get a remedy and if any member of your family is already having symptoms, apart from these, if your meal is not hygienic means fruits, vegetables, and fibers are missing in your diet or meal then in these conditions it can be produced easily.

Diagnosis of stomach/ colorectal/ bowel cancer

Generally, doctors prescribe many solutions like sometimes medicines, test, operation, or surgery. Anything can be prescribed by a doctor, but you should be aware about to take any advice, initially, some tests are recommended by a doctor or specialist like CT scan, X rays, USG and many more, but the thing to remember is that, sometimes with the reports, a doctor can never be sure, just he can get an idea. Usually, they prefer a surgery as a remedy because the results of cancer come after its having a dangerous level, so at that time no small process could be required because it increases rapidly. There are some surgery which is recommended by doctors,

• Chemotherapy • Radiotherapy

Surgery or therapy depends on the cancer or the level of the disease, means it’s not sure that only these diagnoses, would be recommended, infect all things depends on the location of the tumor or cancer or its stage or level. Basically, surgery, work as a first aid treatment apart from this therapy.

Dr. Pradeep Jain - Chief of Department of GI, Bariatric & Minimal Access Surgery at Action Cancer Hospital & Sri Balaji Action Medical Institute. Dr Pradeep Jain, is also the first in the entire Delhi city, who has performing Advanced Laparoscopic Oncology Surgery and Bariatric Surgery

[drpradeepjainreviews]

Dr. Pradeep Jain - What is Pancreatic Cancer?

Dr. Pradeep Jain Fortis Hospital - A tumor, located in any part of the body, is called cancer and that’s why there is no limited name specification about the cancer. Now is the time when people as well as doctors are hearing new cancer, earlier people were informed about few cancers, but now many cancers have been reported and pancreatic cancer is also one of them.

Pancreatic cancer is also very typical to handle, because in most of the cases, it’s never detected, until it reaches its advanced level, because its symptoms are too generic. Whether many technology or medicines has been treated, but in the case of this cancer, theses technologies get failed or may not succeed, because once it diagnoses at its advanced level than the patient hardly survived 5 to 6 months.

What is pancreatic cancer?

A human body has many organs and pancreatic is also one of them, actually it is located behind of the stomach or upper side of the abdomen. Actually, this is called a gland or node and this is too active gland, which helps to digest the food in the body and to control the blood sugar, means due to this you can be saved from sugar also.

Causes of reaching a high level or producing in a body

Every disease has its origin and some symptoms also, through the disease can be developed, so that to detect any disease, we have to consider on some points. Whether, pancreatic cancer is also known as a silent killer because it comes only with its danger level not before. Yet there are some factors and with them it increases rapidly.

Obesity: It’s seen that obesity can be the reason behind of pancreatic cancer, because tumor also refers the extra part of the cell or mass and obesity is likely near to that.

Smoking: Tobacco has been a first element to increase cancer, no matter it is pancreatic or another one.

Diet: A rich diet also invites a cancer and in the case of this cancer, it plays a very strong role. A diet with rich meat and having fat has been linked to develop it.

Diabetes: if a person is suffering from diabetes then he might be affected by the cancer because studies have specified the link between diabetes and cancer.

Extra protein in food: if your meal has unnecessary protein of other ingredients, then it also can cause the cancer, so that meal should be sufficient.

Symptoms of cancer

Reasons, which are mentioned above are the causes, by which cancer can be developed, but there are some symptoms also and through them you can identify the cancer.

Abdominal pain Vomiting Loss of appetite Jaundice Darkening of the urine Pale colored stool Remedy prescribed by doctor

Generally, doctors prescribed medicine, but if the level of cancer is too low, and if it has been its advanced level or if the doctor is also not sure about its level, then he recommend the surgery, as surgery is the first process to detect the cancer so that the doctor could also be sure. Then for the treatment of pancreatic cancer few remedies are there,

Radiotherapy: In this technology, radiation therapy is used, like high energy rays are done as vaccine on the infected organ and for the better result or in high level of cancer it can be used with chemotherapy. Chemotherapy: Basically it is the most famous technology for the treatment of cancer and in this process many kind of chemical is used. This cancer doesn’t have many solutions and most of the people are not aware about this disease as they don’t know the name of pancreatic cancer, due to that, this cancer has the fifth place being the reason of death.

Dr. Pradeep Jain is a renowned doctor in the stream of Laparoscopic surgery. Dr. Pradeep Jain has experience over twenty years in the field of GI surgeries incorporated with pancreatic surgery and bariatric surgery.

[drpradeepjainreviews]

Pros and Cons of Bariatric Surgery by Dr. Pradeep Jain

Dr. Pradeep Jain - Bariatric Surgery is referred for weight loss surgery for gaining the weight is reduced through the operational procedure. An obese person can undergo for this surgery with the advice of professional doctors. There are several types of surgeries with different types of procedures done for further reducing weight. Bariatric Surgery includes the procedures mostly on reducing the size of the stomach that target with less consumption of food by the patient. Any normal obese person with heavy weight and without any severe health problems can get operated with Bariatric surgery. Generally Bariatric surgery is done on the stomach by removing or detaching some of the portion. It attains with loss of appetite and consumes less food by the operated person. A gastric silicone band is spiraled on stomach making it two portions. The gastric band is adjustment is a small surgical procedure and can be done whenever it is necessary. It can be loosen or tighten by the doctor with saline water pumped into it with the help of a syringe. Bariatric surgery includes with a variety of procedures of sleeve gastrectomy, biliopancreatic diversion with duodenal switch, or resecting and rerouting the small intestines by gastric bypass surgery. It depends on the patient to select type of surgery on the doctor’s advice and knowing with all pros and cons of Bariatric Surgery. There are many advantages with bariatric surgery. Many researches were done and found that these procedures results with several positive effects. • Weight loss is gained within a term after the surgery and it remains for long duration. The consumption of food will be decreased and every nutrient is supplied for the patient so that he can make a healthy weight loss without dieting. The difference in weight is seen nearly within first ten months after surgery. • Patients with severe obesity may be confident of this type of surgeries for long-term survival without health problems. It is recommended for the people who have a body mass index (BMI) of at least 40. • Those who have gone with Bariatric surgery will have the recovery from diabetes as the food consumption is regulated according to instructions by experts. The hormonal changes after the surgery make possible for curing diabetes. • The surgery also causes improvement in cardiovascular risk factors and manages the system in good condition. It controls the high cholesterol and hypertension after the surgery. • Major benefit of the surgery is it provides the reduction in mortality of 23% from 40% and prolongs the life of the person. It regulates the metabolism of patients and improves the conditions related to the blood chemistry. Possibility of adverse effects has in the person after having the obesity surgery. Complications can be occurred during the initial hospital stay immediately after surgery, and also in the subsequent six months. • Gastric Dumping Syndrome can be seen in consequence of Bariatric surgery. In this case patient suffers with bloating and diarrhea immediately after food consumption. Necessary medications and less consumption of light food is the treatment for it. Sweating and weakness is shown in the patient. • Gastric band may be slipped out of place, become loose or leak, causing vomiting and nausea in the patient. It may be needed with another surgery. • If enough food is not absorbed by the body, it may be a risk factor for nutrient deficiency. Loss of Calcium may lead to Osteoporosis and anemia. • Infections and blood clots may be at higher risk rate that can be caused after surgery. Hernias also possible which may be needed further surgery. Stones may be formed in gallbladder because of rapid weight loss.

Dr. Pradeep Jain Fortis is very popular among his patients due to his cordial nature and compassionate attitude. Dr. Pradeep Jain is well familiar as a trouble shooter in surgical profession.

[drpradeepjainreviews]

Esophageal Surgery Has Its Complications by Dr. Pradeep Jain Fortis

Dr. Pradeep Jain Fortis - The cancer that happens in the actual esophagus, the hollow, long pipe presents out of your throat for your stomach, is referred to as esophageal most cancers. This pipe helps within carrying meals you swallow for your stomach with regard to digestion. The cells contained in the wind pipe tube are where esophageal cancer typically takes place. It is more regularly found within men when compared with women.

Dr. Pradeep Jain Fortis has wide experience of Gastroenterology Surgery. Dr. Pradeep Jain Fortis has done his M.S (Surgery) and M.Ch in Gastrointestinal and Hepatobiliary Surgery. Presently leading (Director) the Department of Laparoscopic GI, GI Oncology Surgery in Fortis Hospital, Shalimar Bagh.

[drpradeepjainreviews]

Dr. Pradeep Jain - Signs You Need to See a Gastroenterologist

Dr. Pradeep Jain - Gastroenterology, a branch of medicinal associated with digestive diseases. It is a practice that mainly concentrates on the diagnosis and treatment of diseases of stomach, esophagus, gallbladder, liver, pancreas, small and large intestine. There are several health issues like stomach pain, heartburn and constipation or more for which you want to seek out a gastroenterologist.

Who is a Gastroenterologist?

Most frequently he is called in cases of rectal bleeding, abdominal pain or change occurs in bowel habits, in case diagnosis is not clear or where it is required to have specialized diagnostic procedure. In order to become a Board Certified Gastroenterologist, it is necessary to complete college course of four years, medical school training of four years and must have got a degree in medicines. After that in addition he/she needs to complete 4 to 6 years of specialized training in Internal medicine and Gastroenterology. Also he needs to practice for several years and must successfully finish an extensive examination series. It is always recommendable to consult a Broad Certified Gastroenterologist.

Signs When you Need to Seek a Gastroenterologist

Now, let’s come to the point- the signs that show it’s the time to seek a Gastroenterologist. Usually patients are referred to gastroenterologist after their initial diagnosis performed by primary care physician. In case, you experience any of the below symptoms and signs of GI disorders, your physician may suggest you to consult GI specialists:

Abdominal pain or bloating

Rectal bleeding

Vomiting and diarrhea

Acid reflux (heartburn)

Esophageal pain

Loss of appetite or weight

Changes in bowel movement, something that is hard to control

Dark urine and leakage stains

Above are some common health issues that can occur when GI tract is not working properly. For persistent heartburn continues for six months and even with the help of Proton Pump Inhibitor (PPIs), you are not getting relief, it is good to see the physician. Similarly in the case of changes in bowel movement and vomiting as it basically relates to go to the washroom. If you experience constipation or diarrhea you can’t do your work properly until unless your condition is not under control. So if you feel like you can’t control anymore, it is good to see the gastroenterologist. Esophageal pain and abdominal pain are other symptoms for which you must seek your physician.

Dr. Pradeep Jain Fortis Hospital is one of the few surgeons in India who are specialized in Advance Laparoscopic GI, Bariatric Surgery and GI Onco. Dr. Pradeep Jain Fortis is an experienced surgeon with strong believe in the holistic approach towards the patients.

[drpradeepjainreviews]

Dr. Pradeep Jain's performs Minimal invasive Surgery (Whipples) for Pancreatic Cancer in Fortis Hospital - Navbharat Times News

http://epaper.navbharattimes.com/details/34082-63860-1.html

[drpradeepjainreviews]

Dr Pradeep Jain - Which Bariatric Surgery is Right for You?

Dr Pradeep Jain - When it comes to lose weight, we all make some dietary changes and even workout or join gym or exercise classes. But still we are not able to lose our weight, then? Is there any alternative to lose excess weight? Well with the help of biological science, those people who are not able to lose weight via making changes in dietary plan and exercise, now can lose their excess weight and get rid of obesity related health issues like high cholesterol, high blood pressure, diabetes and many more are there.

Different types of weight loss surgeries are there such as Gastric Sleeve Resection, Adjustable Gastric Banding, and Gastric Bypass, suggested according to an individual BMI or health issues. Each surgery has its own risks and benefits involved.

Effectiveness of weight loss surgery

Effectiveness of the bariatric surgery or weight loss surgery depends on the surgeon performing the surgery, the clinic where surgery is performed whether they offer after care and majorly depends on the patient.Does not matter with what procedure you are going through, implementing lifestyle or dietary changes after surgery can only decides the success of the operation.

How to choose right weight loss surgery?

Well, this question can only be answered by you and only you. But before answering, make sure to have knowledge about the entire treatment procedure with associated risks and benefits as well.

Internet can help you a lot in gaining information, but make sure the resources you are using must be responsible. Additionally always remember that there is no substitute of your doctor's consultation who has extensive experience in this field.

Put forth these essential questions:

Would you like to eliminate the hunger you generally feel?

What's your weight loss objective? For instance, would you like to lose as much of the additional weight as could be expected or would you be content with short of what this amount?

What is the "move down plan" if the method you picked fails to deliver your weight loss objective?

How much support, would you say you are eager to put into your operation once it is carried out? Will you set aside a few minutes for the change schedule of say. In addition, Laparoscopic banding required regular follow-up as compared to any weight loss surgical methodology?

How quick would you like to lose the weight? For instance, do you urgently require knee replacement surgery and must lose weight rapidly?

It is safe to say that you are getting fair-minded advice from your sources? This is appropriate with "one operation" clinics and specialists. Case in point, in the event that you are contrasting laparoscopic movable gastric banding with the laparoscopic "Sleeve" or the laparoscopic gastric detour, you must converse with a bariatric specialist who can perform all systems with equivalent expertise and has far reaching knowledge with every surgery. At exactly that point will you get a fair feeling as to the pros and cons and formal of every system, and whether it is relevant for you.

Dr Pradeep Jain Fortis Hospital , Shalimar Bagh is an experienced and praised laparoscopic gastrointestinal surgeon. As a pioneer in his field, Dr Pradeep Jain has performed life-changing surgeries to help patients battle gastrointestinal cancers and dangerous levels of obesity.

[drpradeepjainreviews]

Dr. Pradeep Jain-Unknown Facts about Morbid Obesity

Dr. Pradeep Jain Fortis - In the recent times, the morbid obesity rate is on a steep rise. Being overweight does not mean you are alone. Every year, lots of treatment procedure is performed for those suffering from obesity. Being obesity means having too much body fat that not only affects your appearance but also affects how you feel about yourself. 

Morbid Obesity

A severe form of obesity refers to morbid obesity in which an individual carry 100 or more pounds of weight or have more than 40 BMI, this form of obesity also known as grade 3 obesity. However the range of BMI between 18.5- 25 is considered as healthy. 

As per the published reports in recent times, the problem has grown over 40 percent and it is estimated that increasing trend of being overweight makes obesity one of the main factors of leading death worldwide.

According to a survey: 

Over 65% of adults are obese

·   32% of children are obese

·    4.8% of adults are suffering from morbid obese

·   Annually around 352,000 deaths occur due to obesity

·   $75 billion was spent on the medical cost for obesity 

Causes of Morbid Obesity

Consuming a lot of is not just the reason for morbid obesity. As per the specialists there are a few different variables and one of them is hereditary (genetic) factor that assumes a key part in compelling weight pick up. The rate of calories burn may differ as they rely on upon the metabolism rate. 

When we consume, our body stores the calories that are important to devour for energy. On the off chance that these calories are not utilized appropriately, these are put away as fat in our body. What's more when our body ceaselessly stores these fats, it brings about morbid obesity. Stress, tension, quit smoking and absence of sleep can prompt weight pick up.

Unbelievable Facts about Morbid Obesity

When it comes to the morbid obesity, there are several shocking facts that you probably don’t know. For instance, this form of obesity is highly expensive to most of the world’s economies.

A kind of medical issue in which an individual carries extreme weight than normal 

BMI and thus put an unbelievable amount of strain on his body that can result in a number of serious health problems is Morbid Obesity. 

Additionally there is an endless list of diseases associated with the morbid obesity including respiratory abnormalities, cancers, arthritis, gastrointestinal, cardiac related diseases and list continues…….Extra weight put extra pressure on our body’s organs and thus leads to related diseases. 

The growing trend towards the obesity has to be tackled in two ways. Firstly it is necessary to educate people about the risk associated with the obesity and morbid obesity. However larger issues at global level need to be tackled by the powerful people. Initially food industry needs to be controlled. They are not allowed to spoil the masses in the name of profit and organization.

Dr Pradeep Jain is one of the few surgeons in India who are specialized in Advance Laparoscopic GI, Bariatric Surgery and GI Onco. Dr Pradeep Jain Fortis is an experienced surgeon with strong believe in the holistic approach towards the patients.