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'endocrine gland'

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Gallbladder Cancer

Gallbladder cancer is an abnormal growth of cells that begins in the gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder stores bile, a digestive fluid produced by your liver. Gallbladder cancer is uncommon. When gallbladder cancer is discovered at its earliest stages, the chance for a cure is very good. But most gallbladder cancers are discovered at a late stage, when the prognosis is often very poor. Gallbladder cancer may not be discovered until it’s advanced because it often causes no specific signs or symptoms. Also, the relatively hidden nature of the gallbladder makes it easier for gallbladder cancer to grow without being detected. Early diagnosis is crucial for effective treatment. For expert gallbladder cancer diagnosis and treatment in Pune, consult Dr. Ujwal Zambare, the Best Gastroenterologist & Gallbladder Cancer Specialist in Wakad, Pune. Symptoms Gallbladder cancer signs and symptoms may include: Abdominal pain, particularly in the upper right portion of the abdomen Abdominal bloating Losing weight without trying Yellowing of the skin and whites of the eyes (jaundice) Causes It’s not clear what causes gallbladder cancer. Doctors know that gallbladder cancer forms when healthy gallbladder cells develop changes (mutations) in their DNA. A cell’s DNA contains the instructions that tell a cell what to do. The changes tell the cells to grow out of control and to continue living when other cells would normally die. The accumulating cells form a tumor that can grow beyond the gallbladder and spread to other areas of the body. Most gallbladder cancer begins in the glandular cells that line the inner surface of the gallbladder. Gallbladder cancer that begins in this type of cell is called adenocarcinoma. This term refers to the way the cancer cells appear when examined under a microscope. Risk Factors Your sex. Gallbladder cancer is more common in women. Your age. Your risk of gallbladder cancer increases as you age. A history of gallstones. Gallbladder cancer is most common in people who have gallstones or have had gallstones in the past. Larger gallstones may carry a larger risk. Still, gallstones are very common and even in people with this condition, gallbladder cancer is very rare. Other gallbladder diseases and conditions. Other gallbladder conditions that can increase the risk of gallbladder cancer include polyps, chronic inflammation and infection. Inflammation of the bile ducts. Primary sclerosing cholangitis, which causes inflammation of the ducts that drain bile from the gallbladder and liver, increases the risk of gallbladder cancer. Prevention Get to and stay at a healthy weight Keep physically active and limit the time you spend sitting or lying down Follow a healthy eating pattern that includes plenty of fruits, vegetables, and whole grains, and limits or avoids red and processed meats, sugary drinks, and highly processed foods It’s best not to drink alcohol. If you do drink, have no more than 1 drink per day for women or 2 per day for men. You should consult a gallbladder cancer specialist if you experience persistent upper right abdominal pain, unexplained weight loss, jaundice (yellowing of the skin and eyes), nausea, vomiting, bloating, dark urine, pale stools, or chronic digestive issues that don’t improve with treatment. Since gallbladder cancer often shows no early symptoms and is usually diagnosed at an advanced stage, early consultation is crucial for better treatment outcomes. If you are experiencing any of these symptoms or have risk factors, seek expert care from Dr. Ujwal Zambare, the Best Gastroenterologist & Gallbladder Cancer Specialist in Wakad, Pune, for accurate diagnosis and effective treatment.

Pancreas

The pancreas is a gland, about six inches long, located in the abdomen. It is shaped like a flat pear and is surrounded by the stomach, small intestine, liver, spleen and gallbladder. The wide end of the pancreas on the right side of the body is called the head. The middle sections are the neck and body. The thin end of the pancreas on the left side of the body is called the tail. The uncinate process is the part of the gland that bends backwards and underneath the head of the pancreas. Two very important blood vessels, the superior mesenteric artery and superior mesenteric vein, cross behind the neck of the pancreas and in front of the uncinate process. The pancreas is both an exocrine gland and endocrine gland and has two main functions – digestion and blood sugar regulation. For advanced pancreatic disease diagnosis and treatment in Pune, consult Dr. Ujwal Zambare, the Best Gastroenterologist & Pancreas Specialist in Wakad, Pune. Pancreas Conditions Diabetes, type 1: The body’s immune system attacks and destroys the pancreas’ insulin-producing cells. Lifelong insulin injections are required to control blood sugar. Diabetes, type 2: The body becomes resistant to insulin, causing blood sugar rises. The pancreas eventually loses the ability to appropriately produce and release insulin, leading to a need for synthetic insulin. Cystic fibrosis: A genetic disorder that affects multiple body systems, usually including the lungs and the pancreas. Digestive problems and diabetes often result. Pancreatic cancer: The pancreas has many different types of cells, each of which can give rise to a different type of tumor. The most common type arises from the cells that line the pancreatic duct. Because there are usually few or no early symptoms, pancreatic cancer is often advanced by the time it’s discovered. Pancreatitis: The pancreas becomes inflamed and damaged by its own digestive chemicals. Swelling and death of tissue of the pancreas can result. Although alcohol or gallstones can contribute, sometimes a cause for pancreatitis is never found. Islet cell tumor: The hormone-producing cells of the pancreas multiply abnormally, creating a benign or cancerous tumor. These tumors produce excess amounts of hormones and then release them into the blood. Gastrinomas, glucagonomas, and insulinomas are examples of islet cell tumors. Enlarged pancreas: An enlarged pancreas is rare. It may be a harmless anatomic abnormality or it may be a sign of autoimmune pancreatitis. Pancreas Tests Physical examination: By pressing on the center of the belly, a doctor might check for masses or abdominal pain. They can also look for other signs of pancreas conditions. Pancreatic pain often radiates to the back. Abdominal ultrasound: An abdominal ultrasound can detect gallstones that might block the outflow of fluid from the pancreas. It also can show an abscess or a pancreatic pseudocyst. Computed tomography scan: A CT scanner takes multiple X-rays, and a computer creates detailed images of the pancreas and abdomen. Contrast dye may be injected into your veins to improve the images. This imaging test can help assess the health of the pancreas. A CT scan can identify complications of pancreatic disease such as fluid around the pancreas, an enclosed infection (abscess), or a collection of tissue, fluid, and pancreatic enzymes (pancreatic pseudocyst). Magnetic resonance imaging (MRI): Magnetic waves create highly detailed images of the abdomen. Magnetic resonance cholangiopancreatography (MRCP) is an MRI that focuses on the pancreas, liver, and bile system. Endoscopic retrograde cholangiopancreatography (ERCP): Using a camera on a flexible tube advanced from the mouth to the intestine, a doctor can access the area of the pancreas head. Tiny surgical tools can be used to diagnose and treat some pancreas conditions. Sweat chloride test: A painless electric current stimulates the skin to sweat, and the chloride in perspiration is measured. People with cystic fibrosis often have high sweat chloride levels. Pancreas Treatments Physical examina Insulin: Injecting insulin under the skin causes body tissues to absorb glucose, lowering blood sugar. Insulin can be created in a lab or purified from animal sources. Pseudocyst drainage: A pseudocyst can be drained by inserting a tube or needle through the skin into the pseudocyst. Alternately, a small tube or stent is placed between either the pseudocyst and the stomach or the small intestine, draining the cyst. Pseudocyst surgery: Sometimes, surgery is necessary to remove a pseudocyst. Either laparoscopy (multiple small incisions) or laparotomy (one larger incision) may be needed. Pancreatic cancer resection (Whipple procedure): The standard surgery to remove pancreatic cancer. In a Whipple procedure, a surgeon removes the head of the pancreas, the gallbladder, and the first section of the small intestine (the duodenum). Occasionally, a small part of the stomach is also removed.

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