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GI & HBP Oncology Disease Management Group
GI & HBP Oncology Disease Management Group

Max Institute of Cancer care (MICC) offers comprehensive state of the art services for early diagnosis, staging, treatment and hospital-based care of Disease management group (DMG) – Breast , Gynaecology , gastrointestinal etc. cancers . An individualised treatment plan is made for each patient by a specialist multidisciplinary team of medical oncologists, radiation oncologists, surgeons, histopathologists, molecular pathologists, gastroenterologists, interventional radiologists, nuclear medicine, dietitians, physiotherapists and geneticist. There are a constant cross chat between the various specialities at the Respective DMG Tumour Board meeting, The main concept behind the DMGs at MICC is to make the best skills available to our patients. Site-specific oncology allows the clinicians involved in patients care to focus only on certain cancers at which they become world experts. Meetings are held once a week to discuss all patients diagnosed with DMG specific (Disease Management Group- Breast , Gynaecology , GI etc.) cancer and arrive at the best possible management for the patient. The Surgical Medical and Radiation specialists of the respective DMG along with the Pathologists, Radiologist and Molecular Oncologists attend these meetings. All patients seen between these meetings are, however, discussed in the common tumour Boards held once a week.

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GI & HBP Oncology Disease Management Group
GI & HBP Oncology Disease Management Group

Max Institute of Cancer care (MICC) offers comprehensive state of the art services for early diagnosis, staging, treatment and hospital-based care of Disease management group (DMG) – Breast , Gynaecology , gastrointestinal etc. cancers . An individualised treatment plan is made for each patient by a specialist multidisciplinary team of medical oncologists, radiation oncologists, surgeons, histopathologists, molecular pathologists, gastroenterologists, interventional radiologists, nuclear medicine, dietitians, physiotherapists and geneticist. There are a constant cross chat between the various specialities at the Respective DMG Tumour Board meeting, The main concept behind the DMGs at MICC is to make the best skills available to our patients. Site-specific oncology allows the clinicians involved in patients care to focus only on certain cancers at which they become world experts. Meetings are held once a week to discuss all patients diagnosed with DMG specific (Disease Management Group- Breast , Gynaecology , GI etc.) cancer and arrive at the best possible management for the patient. The Surgical Medical and Radiation specialists of the respective DMG along with the Pathologists, Radiologist and Molecular Oncologists attend these meetings. All patients seen between these meetings are, however, discussed in the common tumour Boards held once a week.

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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
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Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555
Home >> Our Specialities >> GI & HBP

GI & HPB

Max Institute of Cancer care (MICC) offers comprehensive state of the art services for early diagnosis, staging, treatment and hospital-based care of Disease management group (DMG) – Breast , Gynaecology , gastrointestinal etc. cancers . An individualised treatment plan is made for each patient by a specialist multidisciplinary team of medical oncologists, radiation oncologists, surgeons, histopathologists, molecular pathologists, gastroenterologists, interventional radiologists, nuclear medicine, dieticians, physiotherapists and geneticist. There are a constant cross chat between the various specialities at the Respective DMG Tumour Board meeting, The main concept behind the DMGs at MICC is to make the best skills available to our patients. Site-specific oncology allows the clinicians involved in patients care to focus only on certain cancers at which they become world experts. Meetings are held once a week to discuss all patients diagnosed with DMG specific (Disease Management Group- Breast , Gynaecology , GI etc.) cancer and arrive at the best possible management for the patient. The Surgical Medical and Radiation specialists of the respective DMG along with the Pathologists, Radiologist and Molecular Oncologists attend these meetings. All patients seen between these meetings are, however, discussed in the common tumour Boards held once a week.

Services available at the GI Disease management group at MICC include:

  • Diagnosis, tests and investigations: primary assessment and diagnosis
  • Specialist review and second opinion
  • Staging and investigation
  • Cancer genetics
  • Pre-operative counselling
  • Site specific surgical oncology   
  • Chemotherapy
  • Immunotherapy
  • Targeted therapy   
  • Radiotherapy with newer techniques    
  • Surgery, including sphincter-sparing surgery and trans-endoscopic microsurgery (TEMS)
  • Critical care    
  • Rehabilitation    
  • Palliative and supportive care  
  • Clinical trials    

If you have been directed to the GI DMG Service then you, or your relative, is suffering from either one of the following cancers or spread of another organ cancer to the following sites:

  1. Oesophagus
  2. Stomach
  3. Large intestine(colon), rectum and anus
  4. Pancreas
  5. Bile duct and Gallbladder
  6. Liver
  7. Small intestine
  8. Retroperitoneum (the deep part of the abdominal cavity)
  9. Neuroendocrine system

Condition & Treatment

The colon is a part of the body’s digestive system. The digestive system is made up of the esophagus, stomach, small and large intestine.

The Esophagus is a hollow muscular tube that connects the mouth to the stomach. Each time you swallow food or liquid, the esophagus transports it to the digestive system.

The gallbladder is a pear-shaped organ that lies just below the liver in the upper abdomen. The purpose of the gallbladder is to store bile, a juice made by the liver to digest fat..

Gastrointestinal cancer is generally a group of cancers affecting organs like stomach, esophagus, gall bladder, bowels, rectum, anus, liver, and pancreas

Liver cancer, also known as hepatocellular cancer, is a cancer that originates in the liver itself. If the cancer originates in another part of the body and spreads to the liver, it is known as liver metastases.

Gastric cancer or stomach cancer is a disease in which malignant (cancer) cells develop from the lining of the stomach. This lining aids in digestion.

Chemotherapy is a treatment used for some types of cancer. This section gives information about chemotherapy.

Oesophagus, also known as the food pipe is a muscular tube measuring 20-25 cm long and 2-3 cm wide that serves as a conduit for moving food and drink from the mouth to the stomach.

The pancreas serves two main functions. The exocrine portion of the gland secrete digestive juices, while the endocrine portion secretes hormones, the most important being insulin.

The rectum and anal canal forms the lower end of the body’s digestive system. The digestive system is made up of the esophagus, stomach, small and large intestine.

GI & HBP

Colloquial Descriptor: Gut/Intestine, Liver, Stomach, Pancreas, Gall Bladder , Oesophagus , Large intestine(colon), Rectum and Anus , Bile Duct & Gallbladder, Small intestine , Retroperitoneum (the deep part of the abdominal cavity) , Neuroendocrine system

GI & HBP At

Team That Cares

Dr. Alok Narang
Senior Consultant
Cancer Care / Oncology
Dr. Neeraj Goel
Senior Consultant
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Bhawna Sirohi
Director - Medical Oncology
Cancer Care / Oncology
Dr. Arun Kumar Verma
Principal Consultant
Cancer Care / Oncology
Dr. Sharan Choudhri
Senior Consultant
Cancer Care / Oncology
Cancer Care / Oncology
Dr. Harit Chaturvedi_new_0 - Max Hospital
Chairperson, Max Institute of Cancer Care
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Bhawna Sirohi
Director - Medical Oncology
Cancer Care / Oncology
Cancer Care / Oncology
Dr Charu - Max Hospital
Associate Director
Cancer Care / Oncology
Dr Vineeta Goel - Max Hospital
Associate Director
Cancer Care / Oncology
Dr.Sachin Gupta_2 - Max Hospital
Associate Director
Cancer Care / Oncology

PATIENT TESTIMONIALS - Real People, Real Stories

Success stories at Max are impeccable. With medical and mechanical support we believe in changing life of our patients. Watch our patients speak about their experiences on the treatment.

Watch our patients talk about their experience

WHAT WE DO

Max institute of cancer care (MICC) GI cancer multidisciplinary team includes group of experts in medical oncology, surgical oncology, radiation oncology, gastroenterologists, radiologist, pathologist, molecular oncologist, psychologist and physical therapists. They  collaborate and provide the  best comprehensive cancer care to all patients. The disease management group discussions and management options are discussed with patients to help them choose the best treatment for them.

The molecular profiling of tumors for targeted therapy and genetic test to assess the risk in family members is an integral part of multidisciplinary treatment plan.

Post operative specialized care in dedicated oncosurgery ICU and wards with help of experts intensivist, nurses and physical therapist helps in faster recovery.

Surgical Oncology unit

The surgical unit of GI and Hepato-pancreato-biliary (HPB) DMG are specialized in all surgeries and minimal invasive procedures required for treatment of GI cancers.

Radiation Oncology Unit

What is Radiation Therapy and what does it do?

Radiation Therapy  (RT) is use of high energy Ionization radiation (often X Rays ) to kill a cancer cell by damaging its DNA. Goal of Radiation Therapy (RT) is to use focused beams of radiation to kill cancer cell with as little risk as possible to normal cells. Radiation treatment, like surgery, is a local treatment. It affects the cancer cells only in a specific area of the body.

Timing of RT-

RT can be used before surgery to shrink a tumor, called as neoadjuvant/pre operative RT (Pre op RT). It may be used after surgery to stop growth of cancer cells that may remain called as adjuvant RT (Post op RT). At times radiation is used alone with curative intent which is called as Radical RT. It can also be used at the time of surgery known as Intra-operative Radiation (IORT).

Medical Oncology Unit

What is Medical oncology and what does it do?

Medicines form an important part of the cancer treatment. These can be in the form of chemotherapy, hormone therapy, targeted therapy, biological therapy or immunotherapy. It's used primarily in the following scenarios 

1)  Concurrent partner to radiotherapy to increase the efficacy 

2)  Neoadjuvant chemotherapy – given before definitive therapy which could be chemoradiotherapy or surgery. This is also given to make inoperable tumours operable by reducing the size in some patients.

3) Adjuvant chemotherapy: this is given post surgery usually to decrease the risk of recurrence.

4) Palliative chemotherapy : to control advanced cancers ( cancer which has spread beyond the site of origin) or locally advanced tumour not amenable to surgery or radiotherapy. 

Types of RT

When the source of radiation is from a machine outside the body, it’s called as External Beam Radiation therapy (EBRT). When radioactive material is placed close to tumour or area harbouring cancer cells it’s called as Brach therapy.

What is EBRT? 

EBRT is usually given during outpatient visits (OPD Treatment) to a hospital. In this, a machine (also called as Linear Accelerator/LA) directs the high energy rays at the tumor bearing area within body. The type of machine used for radiation therapy is called as a Linear Accelerator and at Max Hospital it has several models like True Beam STx, Novalis or Clinax. Linear Accelerators have the capability of delivering RT by various techniques like IMRT (Intensity Modulated Radiation Therapy), IGRT (Image Guided Radiation Therapy), SRS (Stereotactic Radiation Therapy) and SBRT (Stereotactic Body Radiation Therapy).

What is IMRT?

Intensity-modulated radiation therapy (IMRT) refers to a technique of focusing radiation therapy at cancer bearing area using computer based optimization process to carefully create a gradient or a dose fall-off between the cancer/target tissues and the surrounding normal tissues. This fall of dose saves the surrounding normal organs effectively. Therefore, these techniques offer the prospect of increasing the cancer control probability while decreasing the side effects.

What is IGRT?

Image guided radiation therapy (IGRT) is classically defined as radiation therapy that is delivered only after verification of position of structures of interest by performing either an X-Ray or CT based image. The same are done by an imaging system mounted on the linear accelerator itself. IGRT technically includes IMRT and hence also called as IM- IGRT (Intensity-modulated Image guided radiation therapy)

What is SBRT?

Stereotactic body radiation therapy (SBRT) refers to use of principles of stereotaxy to identify and pin pointedly deliver precisely deliver intense doses of RT to only to cancer/tumour area. SBRT is essentially similar to Stereotactic Radiosurgery (SRS) brain except that term SBRT used when we are targeting areas outside brain.  Since SBRT involves delivery of higher intensity of radiation doses in shorter time, it also known as SABR (Stereotactic Ablative RT). SBRT is generally done by combining IMRT and IGRT together. SBRT generally has fewer sitting /fractions of radiation as compared to conventional IMRT or IGRT.

Your Radiation Oncologist will discuss all these techniques and how they are relevant for your cancer and its treatment.

What is more important for successful radiation therapy- Machine or team behind machine?

Both machines and team behind machines are equally critical in successful delivery of RT. We are fortunate that at MICC, we have this critical combination of the modern state of the art machines and a trained team available across all hubs of Max Hospitals.

True beam STX is an advanced radiotherapy system to deliver more powerful cancer treatments with pinpoint accuracy and precision. It uniquely integrates advanced imaging and motion management technologies within a sophisticated new architecture that makes it possible to deliver treatments more quickly while monitoring and compensating for tumor motion. While the technology always opens the door, it is always the skilful doctors who can get inside it.

Supportive Services

  • Stoma Care Nurse: stoma is an opening on the front of your abdomen which is made using surgery. It allows faeces or urine to be collected in a pouch (bag) on the outside of your body Sometimes, during surgery, it may be necessary for the surgeon to form an artificial opening on the wall of your abdomen called a 'stoma' to collect waste. The stoma may be temporary (to allow the bowel time to heal) or permanent.
  • Onco-Psychology
  • Dietitics and Nutrition
  • Onco-Cardiology
  • Cancer Prevention advise & services
  • Cancer Genetics
  • Molecular / Precision Oncology
  • Tobacco cessation services

Clinical Meetings

Relevant tumour boards

Max Super Speciality Hospital, Saket

  Gastrointestinal & HPB Oncology - Thursday - 1:00 pm - 2:00 pm

  Central Tumour Board - Monday - 8:30 - 9:30 AM

  Central Tumour Board - Friday - 8:30 - 9:30 AM

Max Smart Super Speciality Hospital, Saket

  Gastrointestinal & HPB Oncology - Thursday - 1:00 pm - 2:00 pm

  Central Tumour Board - Monday - 8:30 - 9:30 AM

  Central Tumour Board - Friday - 8:30 - 9:30 AM

Max Institute of Cancer Care-Lajpat Nagar

  Gastrointestinal & HPB Oncology - Thursday - 1:00 pm - 2:00 pm

  Central Tumour Board - Monday - 8:30 - 9:30 AM

  Central Tumour Board - Friday - 8:30 - 9:30 AM

Relevant tumour boards

Max Super Speciality Hospital, Patparganj

  Gastrointestinal & HPB Oncology & Head &Neck - Thursday - 4:00 pm - 5:00 pm

  Central Tumour Board - Friday - 4:00 pm - 5:00 pm

Max Super Speciality Hospital, Vaishali

  Gastrointestinal & HPB Oncology & Head &Neck - Thursday - 4:00 pm - 5:00 pm

  Central Tumour Board - Friday - 4:00 pm - 5:00 pm

Max Super Speciality Hospital, Shalimar Bagh

  Gastrointestinal & HPB Oncology - Saturday - 4:00pm-4:30 pm & 8:30am-9:30am

  Central Tumor Board - Monday - 8:30am-9:30am

  Central Tumor Board - Thursday - 8:30am-9:30am

PAN MAX

  Virtual Tumour Board PAN INDIA - Wednesday - 3:00 PM - 4:00 pm

  Virtual Tumour Board PAN INDIA - Saturday - 9:00 AM - 12:00 AM

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Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

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