Everything You Should Know About Gastric Outlet Obstruction

There is a growing number of cases of gastric outlet obstruction all over the world. It is blockage or obstruction in the path of outlet of the stomach, which prevent the passage of food into small intestine. Eventually the food accumulates in the stomach and causes a severe abdominal pain. 

Cancer may increase the chronicity of the disease. 

What are main signs and symptoms?

·         Abdominal pain

·         Vomiting after meals

·         Vomiting undigested food devoid of any bile

·         Loss of weight

·         Wasting and dehydration

·         Visible peristalsis from left to right maybe present

·         Succussion splash, a splash like sound heard over the stomach with or without the stethoscope.

·         Bowel sound may be increased due to excessive peristaltic action of the stomach.

·         Fullness in the left hypochondrium may also be present.

Causes of Gastric outlet obstruction

Gastric outlet obstruction can be benign and malignant. To be malignant the cause should be presumed.  In most cases of gastric outlet obstruction, the main cause has been found to be benign Peptic ulcer disease. But thanks to the acid suppressing drugs that has declined the frequency of peptic ulcer cases.

Wondering what causes the peptic ulcer?

Edema and scarring of ulcer results in peptic ulcer followed by healing and fibrosis. This leads to obstruction of the gastrodudenal junction, which is an ulcer in the first part of duodenum.

Other benign causes are infections such as tuberculosis. A rare cause can be blockage due to gallstones and sometimes pancreatic pseudocyst can cause gastric compression. 

Talking about the malignant cause, Gastric cancer is the most prominent one. In many Western countries the frequency has declined   with the treatment of Helicobacter Pylori infection.  However, now the predominating one is the pancreatic cancer.

Treatment

In case of Gastric outlet obstruction with significant obstruction and if there is no scope of medical therapy, then surgery or Gastrojejunostomy is best treatment mode.  In this surgical process the surgeon creates a bypass for the stomach contents so that they can move into the intestine.  This is most successful treatment method has been proven to improve the patient’s survival rate. 

For patients suffering from malignant gastric outlet obstruction, endoscopic stenting is an effective and minimally invasive treatment option. This allows resumption of oral intake and improving quality of life. The endoscopic balloon therapy may be attempted as an alternative surgery and involves the removal of antral portion of the stomach.  However, you must consult best gastroenterologist in Gurgaon, for reliable and safe services.

Are you diagnosed with gastric outlet obstruction?

Seeking proficient gastroenterologist surgeon for comprehensive diagnosis and treatment, then get in touch with Dr. Amanjeet Singh.  He is one of the best gastroenterologists and surgeons treating gastric outlet obstruction due to cancer in India. He is the leading surgeon in Gurgaon associated with Medanta hospital- Medicity, Gurgaon.  He is a reputed and award-winning laparoscopic and robotic surgeon super-specialized in Surgical Gastroenterology.

He is also one of the leading names when it comes to treatment of chronic pancreatitis, gall bladder diseases, bile duct problems, liver problems, hernia, and a range of GI tract issues.  

Dr. Amanjeet Singh has got a rock-solid reputation of handling many cases related to colorectal cancer, colon cancer, and other gastric health issues.  You will get here comprehensive surgical services with a multidisciplinary approach.  His services are highly affordable and surely reduce the hospital stay. With top quality patient care, he ensures healthy living.

Gallbladder diseases and treatment in India

Gallbladder diseases like gallstones, gallbladder polyps, and cancer are highly prevalent in India. The major risk factors of this disease are increasing age, female gender, ethnic background, and hereditary factors. These factors are non-modifiable but obesity, overweight and metabolic disorders are modifiable and highly escalating factors.

If you are at risk of gallstones due to a sedentary lifestyle, then you can prevent the same by engaging inactive lifestyle. Other diseases that are a risk factor for gallstones are cirrhosis, chronic hemolysis and ileal Crohn's disease which contribute to black pigment stones.

What are gallstones?

Gallstones are crystallized cholesterol appear like pebble-like lumps formed by the imbalances of substances in bile.  Removal of the gallbladder is the only method of treatment of gallstones. The surgical process is called cholecystectomy which may be done laparoscopically. There is nothing to panic about this operation!

Since the gallbladder is not an essential organ of our body, its removal may not cause significant harm. Gallbladder stores bile and if the organ is removed the bile can flow directly from the liver to small intestine. 

Laparoscopic gallbladder removal is a gold standard

The laparoscopic technique is the minimally invasive method of removing the gallbladder using a slender instrument called a laparoscope with a tiny camera ahead.  This surgical process gives incredible precision and accuracy because the camera helps the surgeon to view the body organ in a magnified form on the monitor. So the surgeon can carefully separate the gallbladder from the liver, ducts, and vessels.

Laparoscopic surgery ensures less pain and loss of blood when compared to traditional or open cut surgery. The patient can have minimal post-operative pain, faster recovery, and minimal discomfort post-operation if operated by the best laparoscopic surgeon in India. The skin scar is less as laparoscopic surgery does not involve large cut instead of three small holes. Hence, this method is the gold standard. Need not worry about the cost as the laparoscopic surgery cost in India is much cheaper than western countries.

Can gallstones be prevented?

In most cases, gallstones remain unnoticed unless you experience a sudden extreme pain, which is caused when the gallstones block the organ preventing it to drain.  The excess pressure due to stones results in pain in the upper right abdomen. In most cases, the doctor diagnoses gallstones by accident and suggest you, gallbladder surgery if your experience high level of discomfort.

A blockage of gallbladder due to stones will lead to accumulation of bile. This situation may contribute to infection in the organ called cholecystitis. At this stage, the noticeable symptoms are fever of 100.4 degrees, pain, chills, and abdominal pain. Other symptoms include brown stools, darker/orange color urine, and yellowing of skin and eyes may occur. The doctor may confirm gallstones after blood tests and scans to track the bile condition.

To subside the infection, the doctor may prescribe you antibiotics and pain meds. Since gallstones are not detected until they create a blockage in the gallbladder, there is hardly any way to prevent the illness.  If the stones are of very small size it may be cured using medicines. If the size of stones is big the surgery is the main option for successful treatment.

Gallstones and Gallbladder cancer

Gallstones accompany with jaundice due to the accumulation of bile in the gallbladder. If ultrasound results indicate gallbladder polyps (large polyps), which are growth in the inside of the gallbladder wall then you may be at risk of developing gallbladder cancer. Then gall bladder removal is the main mode of treatment to restore your normal health state.

 

Are women more likely than men to get gallstones?

Yes, women are more susceptible to gallstones than men. By the age of 60, gallstones occur in more than a quarter of women. Aging women are at increased risk of getting gallstones due to hormone estrogen which stimulates the liver to divert cholesterol into bile.  Pregnant women are also at higher risk of gallstones because excess secretion of progesterone hormone, which in turns gallbladder contraction. Again women with high BMI or obesity are highly likely to develop gallstones.

Consult with the best surgeon

If you are experiencing any discomfort in the abdominal region or suspecting gallstones, then consult the best gall bladder specialist in India.

Dr. Amanjeet Singh is one of the pioneers in minimal access and bariatric surgery with advanced laparoscopic training at various centers across the globe under stalwarts.  He is the best laparoscopic surgeon in Gurgaon and ensures quick recovery of patients. He has more than 10 years of experience in advanced laparoscopic surgeries related to pancreatitis, gall bladder, hernia, and various disorders related to gastroenterology.

Everything you should know about Hemorrhoids

Hemorrhoids are the most common disease in India with rising prevalence. The disease highly prevalent in adults contributes to 50% of the colorectal investigations. Hemorrhoids are swollen veins of the lowest part of anus and rectum.  During defecation, the veins bulge and get irritated, which may cause rectal bleeding. 

Hemorrhoids inside the rectum are known as internal hemorrhoids and bleeding may be the only sign of them. External hemorrhoids tend to hurt and bleed more than the internal hemorrhoids as they occur right under the skin around the anus.

Well, what exactly causes rectal bleeding or swelling in the region?
If you are overweight or obese or pregnant, it may create extra pressure in the lower rectum. This hampers the smooth blood flow and makes the veins swell.

What clinical studies say?

Genetic factors have a great influence on the occurrence of hemorrhoids. So, you are at greater risk of this disease if you have a family member like a mother or father having this disease.

Other causes of hemorrhoids are pushing during bowel movements, doing strenuous physical activity like heavy weight lifting. Also, hemorrhoids are common during pregnancy. People with hemorrhoids may experience pain and itching around colorectal regions. Other symptoms of hemorrhoids are moist pink/purple bumps around the edge of the anus.  You may see bright red blood in toilet bowl or stool with blood and feel of hard-knot around the anus are common physiological features associated with hemorrhoids.

who are a higher risk of developing hemorrhoids?

Hemorrhoids is a lifestyle disease and the following lifestyle choices can increase your risk of hemorrhoids.

• Constipation

• Alcoholism

• High-fat and low fiber consumption

• Obesity

• Sedentary lifestyle such as low physical activity

• Standing or sitting for a long time

• Liver or heart disease

• Anal intercourse

If you are already suffering from hemorrhoids, then constipation and straining during defecation may aggravate the symptoms. Adopting a healthy lifestyle can prevent hemorrhoids.

What to do for immediate relief?

You can treat hemorrhoids at home using ointments easily available over the counter or trying cold packs or soaking in plain warm water may give temporary relief.  If the condition is serious these remedies may not enable healing.

If the symptoms are worsening, then you may consult a doctor. 

The symptoms of rectal bleeding can also be the symptoms of chron’s diseases, colitis, anal fissures, colon polyps, colon cancer or diverticulitis.  So, do not depend too long on the home remedies. A high-fiber diet is the best thing for hemorrhoids and by eating more vegetables, nuts, fruits, and whole grains you can avoid constipation and hemorrhoids.

If you want to get the right diagnosis and treatment, you must consult the best gastroenterologist in Gurgaon.  Only an expert can provide the best treatment.

Effective treatment 

Minimally invasive procedures are preferred for persistent bleeding or painful hemorrhoids. These procedures may include-

• Rubber band ligation – Doctor places tiny rubber bands around the base of internal hemorrhoid so that withers and falls
 
• Coagulation – use of laser light to harden hemorrhoids which can shrivel easily

• Sclerotherapy – Injection of a chemical solution into hemorrhoid to shrink it.

Surgical procedures are preferred by the colorectal surgeon in India when you have large hemorrhoids. Hemorrhoid removal or hemorrhoidectomy is the process of removal of excessive tissue that causes bleeding. This is the most effective method of treating complicated cases of hemorrhoids.

Hemorrhoid stapling is another surgical procedure used for internal hemorrhoids to block the blood flow to hemorrhoidal tissue.

If you are experiencing symptoms of hemorrhoids and looking for comprehensive diagnosis, then contact Dr Amanjeet Singh.

Dr Amanjeet Singh is the best colorectal surgeon in India associated with Medanta hospital- Medicity, Gurgaon. He is a reputed and award-winning gastroenterologist in Gurgaon super-specialized in a laparoscopic and robotic surgeon.He provides comprehensive surgery services for hemorrhoids (piles, fissure, fistula, appendix, and abscess).

He has a rock-solid reputation of handling many cases related to rectal cancer, colon cancer, and other gastric health issues.  You will get here comprehensive surgical services with a multidisciplinary approach.  His services are highly affordable and surely reduce your hospital stay.  With top-quality patient care, he ensures healthy living.  You may contact him via http://gisurgeryindia.com/

Consult Dr. Amanjeet Singh for hernia treatment and restore your healthy life

An opening or a burst of a protective tissue in any organ is called hernia.  Wear and tear of the abdominal wall resulting in hernia and leakage of the internal contents. A complex hernia condition involves the rupture of the bowel tissues, intestinal blockages, and other complexities. Surgery is the only treatment option that will restore the normal health status of a hernia patient.

Are you troubled with a hernia? Are you looking for a popular hernia surgeon who is able to perform surgeries through laparoscopic technique?

Get in touch with Dr. Amanjeet Singh, a leading best hernia surgeon in Gurgaon. Post-graduated from Dayanand Medical College and Hospital and also trained from AIIMS, Dr. Amanjeet Singh has gained its prominence in conducting successful laparoscopic surgeries in hernia, gallbladder, liver and gastrointestinal tract with utmost efficiency.

Laparoscopic and Robotic Laparoscopic Surgery Works well and rich literature is available on this subject.  Even if there are complications, they occur at an acceptable rate.

Dr. Amanjeet Singh offers cost-effective hernia surgery in India usingmost advanced and modern techniques. The eminent laparoscopic surgeon ensures a low-risk rate and less pain. His patients are known to recover quickly. His multidisciplinary team uses a patient-centered care approach and committed to excellence.

Dr. Amanjeet Singh ensures comprehensive diagnosis and treatment using multidisciplinary care.  He is associated with Medanta Hospital and the staff there are compassionate and patient-friendly. The treatment packages are all-inclusive and you will find no hidden cost here.

Basic health care tips to follow after laparoscopic surgery

Laparoscopy is the minimally invasive technique and has made patients life easier. It is the bloodless and method of surgery, which overcomes all the drawbacks of traditional surgery.  It is a common misconception that one needs a minimal care post laparoscopic surgery. But there are certain tips to follow to quickly restore your normal health condition.

Avoid infection

Although laparoscopic surgery does not involve a large cut, unlike traditional surgery. So you must monitor the wound and immediately report the doctor if there is oozing or bleeding or pus, redness, and soreness.  You can take a shower or bath after two days of surgery but avoid swimming in a pond until two weeks to prevent infection.

Avoid strain

Avoid strenuous activities like exercise or running or heavy lifting for the first few weeks so that the internal wounds heal completely.  A strain may create pressure on the area of surgery resulting in pain and bleeding.   Avoid going to work for a week but mild walking is enough!

Healthy Diet

On the first day after surgery, you may take light liquid such as apple juices to avoid stomach upset and later resume your regular diet. Eat and drink healthy to avoid dehydration and constipation. Fast food may deprive you of essential nutrients in the body, which may delay the wound healing process.

These are the three things to keep in mind post laparoscopic surgery. Also, take all the medications as recommended by practitioners without missing the course. If you are planning to undergo laparoscopic surgery for gall bladder or hernia or gastrointestinal tract disorder then you must consult Dr. Amanjeet Singh, the best laparoscopic surgeon in Gurgaon.

He is popular for patient-centered services and comprehensive surgical services. He is a pioneer of hand-assisted laparoscopic surgery and robotic surgery and has created a mark by inventing his own laparoscopic technique to reduce the cost of the surgery.  You will avail here the finest quality surgical services. Contact today!

Get rid of bowel obstruction with robotic laparoscopic surgery

Bowel obstruction is an urgent medical condition and is diagnosed after confirming the radiological examinations such as Computed Tomography or CT or X-ray of the abdominal cavity.  The main cause of obstruction is tumor, stricture, and adhesion.  Surgery is the main treatment option for bowel obstruction.  Laparoscopic surgery is preferred worldwide by surgeons owing to its benefits unlike in open or traditional surgery.

Laparoscopic surgery is the minimally invasive technique, which gives rise to various advantages like reduced rate of complications, lower consumption of analgesics, shorter hospital stay. Laparoscopic surgery is commonly used and technically advanced. 

Though laparoscopic surgeries have its inception days long back, in India its acceptance and popularity reached a position in contemporary times due to certain successful operations through certain extremely knowledgeable and skilled surgeons in India. The medical system in India has improved remarkably and you no more have to worry about gastric bowel obstruction treatment.

Let the best surgeon help you 

If you are diagnosed with gastric outlet obstruction, then consult a surgeon specialized in surgical gastroenterology. Dr. Amanjeet Singh is a popular laparoscopy and Robotic Surgeon in India having versatile skills and experience.  Medicines cannot cure the complex form of bowel obstructions so robotic laparoscopic surgery is the best option for quick recovery.  

Reputed as the best gastroenterologist in Gurgaon, Dr. Amanjeet Singh is associated with Medanta Hospital in Gurgaon and is head of the Colorectal Surgery Department of GI Surgery, GI Oncology, and Bariatric Surgery. He has more than ten years of experience in treating complex conditions related to hernia, pancreas, and gastroenterology.  You can avail here finest quality treatment irrespective of the severity of the problem. 

Get rid of pain due to hernia operation through best laparoscopic technique

Earlier people had to undergo painful hernia surgeries and also took several days to recover. In the current time, they have the opportunity to have hernia surgery with minimal invasion. It is important that you should try out the laparoscopic technique using laparoscopic or also small telescopic equipment that can be inserted through tiny incision at the umbilicus. This procedure is performed under anesthesia and prior to surgery you also need to do electrocardiogram as well as few tests for general health examination.

At times of herniasurgery in India, you feel no pain at all. This type of laparoscopic device is connected to small video camera and this camera also is smaller than any dime that projects inner view of the body on the television screen on the operation theater. Generally, the abdomen may be inflated with carbon dioxide gas that helps to develop space and also helps the surgeon to view internal as well as essential organs in the best possible manner.

The inner abdominal lining can be cut down in order to identify weakness inside the wall of the abdomen. Then mesh is rightly placed in the body in order to cover up damages of the wall and also strengthen tissues successfully. Once the process is complete, the tiny abdominal incisions are closed down with one or two stitched as well as surgical tape. These incisions are not at all visible after a few months.

In a nutshell, the benefits of the hernia operation using laparoscopic techniques are that only three minor scars are created and not any bigger incision and the patient also can experience less pain after successful completion of the surgery. As a result, one may return to regular work easily and also can recover within few days instead of several weeks just after completion of laparoscopic surgery. 

Are you looking for the famous hernia surgeon who may conduct surgeries through laparoscopy? All you need is to get in touch with Dr. Amanjeet Singh. Completed post-graduation from prestigious Dayanand Medical College and Hospital and also trained at AIIMS, Dr. Amanjeet Singh has made its mark in performing effective laparoscopic surgeries in gastrointestinal tract, hernia, gallbladder and so on with utmost efficiency.