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Cancers of the digestive system

Gastrointestinal cancers - your questions answered

Dr. Nikhil Agrawal

Which are the common gastrointestinal cancers?

As a group gastrointestinal cancer are the most common cancers globally. Overall, they cause more cancers and more deaths from cancer than any other system in the body. For example, one of the GI cancers, colon cancer will affect one in every twenty individuals.

The common gastrointestinal cancers are the cancer of the oesophagus (food pipe), stomach, small intestine, colon & rectum (large intestine), gall bladder, pancreas and liver. The common cancer types are adenocarcinoma, squamous cell carcinoma, neuroendocrine tumours and gastrointestinal stromal tumours (GISTs).

What are the usual symptoms of GI-HPB cancers?

Symptoms are our body’s way of alerting us that something is wrong with us. Each of these GI cancers present with their distinctive signs and symptoms. But unfortunately, often these symptoms occur when it’s already too late.

Symptoms of gastrointestinal diseases including cancer are difficulty in swallowing, pain abdomen, recurrent vomiting, unexplained weight loss, loss of appetite, blood in vomitus, blood in the stool, altered bowel habits (change in frequency or consistency of stools), persistent abdominal discomfort, feeling of incomplete evacuation, weakness or fatigue, worsening indigestion or heartburn, Jaundice, clay-coloured stools, itching, recent-onset diabetes, a lump in the abdomen and/or change in voice.

How do I reduce my risk of gastrointestinal cancers?

Several lifestyle changes can reduce your risk of getting these cancers. These include: avoid alcohol and smoking, eat plenty of green vegetables, avoid preserved or burnt meats, Keep a normal weight and exercise regularly.

What are my chances of a cure if I develop any of these?

Most of these cancers present in an advanced stage as people generally ignore these symptoms. If detected early, these cancers can be operated, which is the best possible treatment option. Don’t ignore any of the warning signs.

I have gall bladder stones; will it cause cancer?

Gallstones are the most common risk factor for gallbladder cancer. Although gallstones are common, very few people with them will get gallbladder cancer. The risk of cancer is increased if a gallstone is causing pain, are large, or you have a close relative with gallbladder cancer.

Can laparoscopic surgery be done for these cancers?

The laparoscopic technique has revolutionized the field of surgery. Research has proven that it results in less surgical trauma, shorter hospital stay, lesser blood loss, lower complication rate and earlier return to work in addition to the obvious cosmetic advantages. Colorectal, oesophageal and gastric cancers are increasingly being done laparoscopically. With technical advances and the increasing expertise of surgeons, cancers of the liver, pancreas and gallbladder can also be operated with laparoscopic technique in selected cases.

Stay Alert! Stay Healthy!
Wish you a speedy recovery!

About Author

Dr. Nikhil Agrawal
MS, MCh

This site helps you understand the disease process, best treatment options and outcome of gastrointestinal, hepatobiliary and pancreatic diseases and cancers. Dr. Nikhil Agrawal is Director of GI-HPB Surgery and Oncology at Max Superspeciality Hospital Saket, New Delhi and Max Hospital, Gurugram in India.