{"id":16808,"date":"2025-05-15T13:51:41","date_gmt":"2025-05-15T13:51:41","guid":{"rendered":"https:\/\/darkseagreen-pony-349255.hostingersite.com\/?page_id=16808"},"modified":"2025-06-21T10:31:18","modified_gmt":"2025-06-21T10:31:18","slug":"gastrointestinal-gi-cancer-surgery","status":"publish","type":"page","link":"https:\/\/drshivangshukla.com\/?page_id=16808","title":{"rendered":"Gastrointestinal (GI) Cancer Surgery &#8211; Upper GI"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16923&#8243; img_size=&#8221;full&#8221; onclick=&#8221;img_link_large&#8221; img_link_target=&#8221;_blank&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Upper GI Cancer Surgery (Esophagus and Stomach)&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p class=\"\" data-start=\"367\" data-end=\"824\"><strong data-start=\"367\" data-end=\"407\">Cancers of the esophagus and stomach<\/strong> are serious conditions that require timely diagnosis and expert surgical care. These cancers often develop silently, with symptoms such as difficulty swallowing, weight loss, indigestion, or persistent nausea appearing only in later stages. Surgical treatment plays a central role in managing these cancers, especially when diagnosed early or in locally advanced stages that are still amenable to curative resection.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"831\" data-end=\"872\"><strong data-start=\"835\" data-end=\"872\">&#8211; Types of Upper GI Cancers Treated<\/strong><\/h3>\n<p class=\"\" data-start=\"874\" data-end=\"929\">We treat a range of malignant conditions affecting the:<\/p>\n<ol data-start=\"930\" data-end=\"1095\">\n<li class=\"\" data-start=\"930\" data-end=\"1000\">\n<p class=\"\" data-start=\"932\" data-end=\"1000\"><strong data-start=\"932\" data-end=\"945\">Esophagus<\/strong> (including squamous cell carcinoma and adenocarcinoma)<\/p>\n<\/li>\n<li class=\"\" data-start=\"1001\" data-end=\"1038\">\n<p class=\"\" data-start=\"1003\" data-end=\"1038\"><strong data-start=\"1003\" data-end=\"1038\">Gastroesophageal junction (GEJ)<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"1039\" data-end=\"1095\">\n<p class=\"\" data-start=\"1041\" data-end=\"1095\"><strong data-start=\"1041\" data-end=\"1052\">Stomach<\/strong> (gastric adenocarcinoma, GISTs, lymphomas)<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"1097\" data-end=\"1202\">Accurate diagnosis and staging are essential to ensure optimal outcomes and avoid unnecessary procedures.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"1209\" data-end=\"1244\"><strong data-start=\"1213\" data-end=\"1244\">&#8211; Surgical Procedures Offered<\/strong><\/h3>\n<p class=\"\" data-start=\"1246\" data-end=\"1349\">The surgical approach depends on the location, size, and stage of the tumor. Common procedures include:<\/p>\n<ol>\n<li class=\"\" data-start=\"1351\" data-end=\"1511\">\n<p class=\"\" data-start=\"1353\" data-end=\"1511\"><strong data-start=\"1353\" data-end=\"1370\">Esophagectomy<\/strong>: Removal of part or all of the esophagus, typically followed by reconstruction using the stomach or part of the colon to restore swallowing.<\/p>\n<\/li>\n<li class=\"\" data-start=\"1515\" data-end=\"1720\">\n<p class=\"\" data-start=\"1517\" data-end=\"1533\"><strong data-start=\"1517\" data-end=\"1532\">Gastrectomy<\/strong>:<\/p>\n<p><strong data-start=\"1538\" data-end=\"1559\">i) Total gastrectomy<\/strong> \u2013 removal of the entire stomach, typically for tumors in the upper part.<br \/>\n<strong data-start=\"1637\" data-end=\"1670\">ii) Subtotal (distal) gastrectomy<\/strong> \u2013 for tumors in the lower part of the stomach.<\/li>\n<li class=\"\" data-start=\"1721\" data-end=\"1871\">\n<p class=\"\" data-start=\"1723\" data-end=\"1871\"><strong data-start=\"1723\" data-end=\"1748\">Lymph node dissection<\/strong>: Removal of nearby lymph nodes to assess for cancer spread, which is critical for accurate staging and treatment planning.<\/p>\n<\/li>\n<\/ol>\n<p>We offer <strong data-start=\"2072\" data-end=\"2122\">minimally invasive and laparoscopic techniques<\/strong>, including <strong data-start=\"2134\" data-end=\"2182\">thoracoscopic and laparoscopic esophagectomy<\/strong> and <strong data-start=\"2187\" data-end=\"2215\">laparoscopic gastrectomy<\/strong>, which are associated with:<\/p>\n<ol data-start=\"2244\" data-end=\"2333\">\n<li class=\"\" data-start=\"2244\" data-end=\"2261\">\n<p class=\"\" data-start=\"2246\" data-end=\"2261\">Less blood loss<\/p>\n<\/li>\n<li class=\"\" data-start=\"2262\" data-end=\"2291\">\n<p class=\"\" data-start=\"2264\" data-end=\"2291\">Smaller incisions and scars<\/p>\n<\/li>\n<li class=\"\" data-start=\"2292\" data-end=\"2315\">\n<p class=\"\" data-start=\"2294\" data-end=\"2315\">Reduced hospital stay<\/p>\n<\/li>\n<li class=\"\" data-start=\"2316\" data-end=\"2333\">\n<p class=\"\" data-start=\"2318\" data-end=\"2333\">Faster recovery<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"2335\" data-end=\"2411\">Whenever possible and safe, we favor these approaches for eligible patients.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3016\" data-end=\"3056\"><strong data-start=\"3020\" data-end=\"3056\">&#8211; Post-Operative Care and Recovery<\/strong><\/h3>\n<p class=\"\" data-start=\"3058\" data-end=\"3169\">After surgery, patients are monitored in a high-dependency unit (HDU) or ICU. Post-operative recovery includes:<\/p>\n<ol data-start=\"3170\" data-end=\"3460\">\n<li class=\"\" data-start=\"3170\" data-end=\"3220\">\n<p class=\"\" data-start=\"3172\" data-end=\"3220\">Gradual reintroduction of liquids and soft foods<\/p>\n<\/li>\n<li class=\"\" data-start=\"3221\" data-end=\"3295\">\n<p class=\"\" data-start=\"3223\" data-end=\"3295\">Nutritional support, including supplements or feeding tubes if necessary<\/p>\n<\/li>\n<li class=\"\" data-start=\"3296\" data-end=\"3355\">\n<p class=\"\" data-start=\"3298\" data-end=\"3355\">Breathing and mobility exercises to prevent complications<\/p>\n<\/li>\n<li class=\"\" data-start=\"3356\" data-end=\"3460\">\n<p class=\"\" data-start=\"3358\" data-end=\"3460\">Follow-up to monitor for recurrence and manage long-term effects (e.g., reflux, swallowing difficulty)<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"3462\" data-end=\"3577\">Patients receive thorough education about diet modifications, symptom tracking, and when to seek medical attention.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"3584\" data-end=\"3627\"><strong data-start=\"3588\" data-end=\"3627\">Academic Contributions and Research<\/strong><\/h3>\n<p class=\"\" data-start=\"3629\" data-end=\"3754\">Our team has contributed to several <strong data-start=\"3665\" data-end=\"3695\">peer-reviewed publications<\/strong> related to <strong data-start=\"3707\" data-end=\"3740\">esophageal and gastric cancer<\/strong>, focusing on:<\/p>\n<ol data-start=\"3755\" data-end=\"3970\">\n<li class=\"\" data-start=\"3755\" data-end=\"3801\">\n<p class=\"\" data-start=\"3757\" data-end=\"3801\">Outcomes of minimally invasive esophagectomy<\/p>\n<\/li>\n<li class=\"\" data-start=\"3802\" data-end=\"3855\">\n<p class=\"\" data-start=\"3804\" data-end=\"3855\">Predictive factors for post-operative complications<\/p>\n<\/li>\n<li class=\"\" data-start=\"3856\" data-end=\"3918\">\n<p class=\"\" data-start=\"3858\" data-end=\"3918\">Surgical margins and lymph node assessment in gastric cancer<\/p>\n<\/li>\n<li class=\"\" data-start=\"3919\" data-end=\"3970\">\n<p class=\"\" data-start=\"3921\" data-end=\"3970\">Quality of life following upper GI cancer surgery<\/p>\n<\/li>\n<\/ol>\n<p class=\"\" data-start=\"3972\" data-end=\"4107\">These studies help refine surgical techniques and improve patient-centered outcomes, reinforcing our commitment to evidence-based care.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3 class=\"\" data-start=\"4114\" data-end=\"4136\"><strong data-start=\"4118\" data-end=\"4136\">&#8211; Final Thoughts<\/strong><\/h3>\n<p class=\"\" data-start=\"4138\" data-end=\"4393\">Upper GI cancer surgeries are complex and require meticulous planning, advanced surgical skills, and compassionate post-operative care. We offer all of this in a setting guided by research, precision, and a strong support system for patients and families.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column][vc_single_image image=&#8221;16923&#8243; img_size=&#8221;full&#8221; onclick=&#8221;img_link_large&#8221; img_link_target=&#8221;_blank&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=&#8221;Upper GI Cancer Surgery (Esophagus and Stomach)&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;] Cancers of the esophagus and stomach are serious conditions that require timely diagnosis and expert surgical care. These cancers often develop silently, with symptoms such as difficulty swallowing, weight loss, indigestion, or persistent nausea appearing only in later [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-16808","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16808","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=16808"}],"version-history":[{"count":6,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16808\/revisions"}],"predecessor-version":[{"id":17031,"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=\/wp\/v2\/pages\/16808\/revisions\/17031"}],"wp:attachment":[{"href":"https:\/\/drshivangshukla.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=16808"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}