Bile Duct

• Jaundice
• Itching
• Fever
• Loss of appetite
• Abdominal Pain
• Vomiting

• Cholesterol cysts
• Gall stones
• Old Age
• Smoking
• Carcinogen and chemical agents

Tumour arising within liver can progress from solitary to multiple, one side to both sides and blood vessels. Tumours outside liver may spread to blood vessels, lymph node and adjacent organ (causing jaundice and vomiting).

• Clinical Symptom
• Biochemical tests – liver function test, tumour marker (CEA, CA IG-G). Imaging – USG, CT Scan, MRI, Endoscopy and Biopsy (Biopsy is not mandatory for diagnosis).

• Intra hepatic tumour: Requires liver resection and bile duct resection.
• Extra hepatic tumour: Requires liver resection along with removal of bile duct and adjacent organ and vascular resection.
• Other treatment options: Radiotherapy, chemotherapy, endoscopic stenting
• Bile Stones: This tumour requires extended liver resection, multi-organ resection and vascular resection (both being performed at Kokilaben Hospital).

The three most effective steps to reduce your chances of developing bile duct cancer are:

• Giving up smoking
• Drinking alcohol in moderation
• Minimising your exposure to the hepatitis B and hepatitis C viruses

Central Pancreatectomy for Insulin-Producing Tumour

Background and diagnosis

A patient had an insulin-producing tumour in his pancreas, known as insulinomas. It was critical as high insulin production leads to life-threatening attacks of seriously low blood sugar. It was difficult to diagnose this tumour at first. The patient repeatedly visited multiple hospitals before reaching us. He received a new lease of life when his tumour was finally diagnosed at Kokilaben Hospital.

Treatment

Traditional operations for pancreatic resection are Whipples procedure or distal/partial pancreatectomy. Given the small size of the tumour, operations like this would have rendered the patient a diabetic. Hence, a rare pancreas preserving procedure was performed.

Outcome

The patients sugar level is normal and he is out of danger.