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Cholangiocarcinoma
Cholangiocarcinoma is the most common tumor of bile duct. Cholangiocarcinoma may involve the bile duct at liver hilum, lower CBD or intrahepatic biliary system. Hilar is the most common type of cholnagiocarcinoma
Rick factors are
- Choledochal cyst
- Clonorchis sinensis
- Hepaticolithiasis
- Primary sclerosing cholangitis
- Biliary-enteric drainage procedures
Symptoms
- Painless jaundice
- Itching
- Weight loss and anorexia
- Fever and pain abdomen in the case of cholangitis
Diagnosis
- Diagnosis is suspected when USG/CT/MRCP reveals obstruction of biliary system, and a mass around the CBD
For tissue diagnosis, EUS – FNA, ERCP-brushings, and spyglass with biopsy are available options
Treatment
- Surgery is the best option for resectable tumors
- For unresectable hilar cholangiocarcinoma, chemo-radiotherapy followed by liver transplantation is the new treatment strategy.
- For advanced tumors, ERCP and stenting can be done for palliation of jaundice/itching and fever
Reviews
I have come across Dr Vikas post lots of research via internet,going through the various feedbacks& I hope my feedback will help anybody who is in dilemma in selecting right doctor.Without a doubt he is one of the top doctors in GI.
Dr Vikas is one of the wonderful,gentle&talented doctor I have come across,he provides the correct direction &also helps in clearing all the doubts/concerns. Moreover his attendent is also very helpful& will heIp you in all possible way.I am very pleased on the overall experience & highly recommend.Thanks doctor for you wonderful support in all ways.May God bless you more & keep on giving great service !!!
Catherine
Dear DGOC
Dr Vikas Singla and team is a very good, nice and soft spoken today 22 Feb we attend a camp for full lever checkup very good service and well maintained every things we wish a very good luck to Dr Vikas Singla and team (Amit)
Gaurav khare
The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
Ankit sharma
I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Ojaswita
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.