Top Periampullary cancer Doctors in Delhi

Conditions are an all-encompassing term for all diseases, disorders and illnesses. Above doctors at Max Hospital, Delhi are the top specialists for Periampullary cancer in Delhi, India. Book a video consultation or in-hospital appointment to receive the best treatments with cutting edge technology. Learn more about Periampullary cancer doctors’ qualification, background, specialization and experience. Book doctor appointments online, check OPD timings at one of the best hospitals in Max Hospital, Delhi.

Frequently Asked Questions

Periampullary cancer refers to a group of malignancies that develop near the ampulla of Vater, which is located at the point where the common bile duct and pancreatic duct meet and empty into the duodenum (the first part of the small intestine). These cancers can include pancreatic cancer, bile duct cancer (cholangiocarcinoma), duodenal cancer, and cancer of the ampulla itself.

Symptoms of periampullary cancer can vary but often include jaundice (yellowing of the skin and eyes), abdominal pain, unexplained weight loss, changes in stool colour (pale or clay-coloured stools), dark urine, nausea, vomiting, and digestive issues. These symptoms can be non-specific and may mimic other gastrointestinal conditions, making early diagnosis challenging.

While the exact cause of periampullary cancer is often unclear, several risk factors may increase the likelihood of developing these cancers. These include a history of chronic pancreatitis, certain genetic syndromes (e.g., familial adenomatous polyposis), smoking, heavy alcohol consumption, and some dietary factors. Additionally, age and gender (men are at slightly higher risk) can also play a role.

Diagnosing periampullary cancer typically involves a combination of medical history review, physical examination, imaging tests (such as CT scans, MRI, and endoscopic ultrasound), blood tests (e.g., tumour markers), and tissue biopsy. Endoscopic procedures like endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) are often used to obtain tissue samples for a definitive diagnosis.

Treatment for periampullary cancer depends on factors like the type of cancer, its stage, and the patient's overall health. Options may include surgery (the main curative approach when possible), chemotherapy, radiation therapy, and palliative care to manage symptoms and improve the patient's quality of life. The specific treatment plan is determined by a multidisciplinary team of healthcare professionals.

Side effects include skin irritation, fatigue, nausea and diarrhoea, and an increased risk of infection.

The frequency of follow-up appointments after treatment for periampullary cancer will depend on several factors, including the stage of the cancer, the type of treatment received, and the patient's overall health. In general, follow-up appointments should be scheduled every 3-6 months for the first few years after treatment, and then less frequently thereafter.

A palliative care team can help manage symptoms and provide emotional support for people with periampullary cancer, particularly those with advanced cancer.

Family members and caregivers can provide practical support, such as helping with household chores and transportation to appointments, as well as emotional support by being present and listening to their loved one's concerns.

Certain genetic syndromes such as hereditary pancreatitis, familial adenomatous polyposis and Lynch syndrome can increase the risk of developing periampullary cancer.

In some cases, periampullary cancer can be cured if it is caught early and treated aggressively. However, if the cancer has spread to other parts of the body or is not detected until later stages, it may not be Curable.

In general, the 5-year survival rate for periampullary cancer ranges from 5-50%, depending on the above-mentioned factors.

The most common periampullary carcinoma is adenocarcinoma, which accounts for approximately 75% of cases.

The most important clinical symptom of ampullary carcinoma is painless jaundice.

The 4 components of periampullary carcinoma are the ampulla of Vater, the distal common bile duct, the pancreatic duct, and the duodenum.

CA 19-9 and CEA are tumour markers that are used to monitor the progression of periampullary cancer.

Stage 4 periampullary carcinoma is a cancer that has spread to the liver or lungs.

The surgery for periampullary carcinoma is called a pancreaticoduodenectomy or the Whipple procedure.

The two types of Whipple procedures are the classic Whipple procedure and the pylorus-preserving Whipple procedure, which preserves a part of the stomach, including the pylorus.

The duodenum is removed in the Whipple procedure because it is located adjacent to the head of the pancreas, where most periampullary tumours occur. Removing the duodenum allows for the complete removal of the tumour and reconstruction of the remaining organs.

FAQs reviewed by Dr. Vivek Mangla, Director, Gastrointestinal and Hepatopancreatobiliary (GI & HPB) Surgical Oncology, Cancer Care / Oncology.

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