Best Doctors in India for Rectal Cancer Treatment

Profile Highlights:

  • Dr. Yogesh Batra is one of the best medical gastroenterologists in New Delhi, India. He has been a practicing gastroenterologist for more than three decades. Currently, the doctor works at Indraprastha Apollo Hospital in New Delhi as a senior consultant and director in the Gastroenterology Department.
  • Dr. Batra specializes in therapeutic endoscopy (EUS, ERCP), hepatology, pancreatic disease, and inflammatory bowel disease (IBD). He has successfully performed a variety of diagnostic and therapeutic GI procedures on hundreds of patients throughout his career.
  • Dr. Yogesh Batra made important contributions to national and international periodicals as well as research. He wrote about 30 papers and 6 book chapters.

Profile Highlights:

  • Dr. Pawan Rawal continued to work in PGIMER, Chandigarh after completing his DM for the next few years and gained proficiency in clinical Gastroenterology, Hepatology, and its application to patient care.
  • He has performed several adult and pediatric upper G I endoscopies/ colonoscopies, ERCPs, capsule endoscopies, and push and double-balloon enteroscopy. Dr. Pawan Rawal is quite experienced in performing all kinds of therapeutic procedures.

Profile Highlights:

  • Dr. Subhash Gupta is one of the finest Gastrointestinal and Liver Transplant Surgeons in the country. He has garnered an outstanding reputation in the field of Biliary, pancreas, and liver transplantation.
  • He has conducted over 300 Living Donor Liver Transplants in the year 2013 each lasting 10-16 hours long.
  • Dr. Subhash Gupta is also known to pioneer the development of Living Donor Transplant or LDLT.

Profile Highlights:

  • Known to be a pioneer in the field of liver transplantation, Dr. Arvinder Singh Soin leads one of the world’s most successful liver transplant programs at Medanta. Currently, he is the Chairman of the Institute of Liver Transplantation and Regenerative Medicine, at Medanata- The Medicity, Gurgaon, India.
  • Quite renowned for having a 95 percent success rate, and having performed over 2500 liver transplants throughout his career, Dr. Arvinder Singh Soin was awarded the Padma Shri by the President of India, for his contributions to the field of Medicine.

Profile Highlights:

  • Dr. Vivek Vij is considered one of the most reputed liver transplant surgeons who has over 17 years of proficient experience and has performed multiple exemplary medical procedures involving advanced surgical skills that cover the entire gamut of gastroenterological surgeries.
  • Dr. Vivek Vij’s expertise lies in Adult & Paediatric Liver Transplant, Complex Liver Surgery, Advanced Pancreato-biliary Surgeries, Advanced Laparoscopic and Robotic Surgeries, Basic Science Research, and Regenerative Medicine. His outstanding expertise in liver transplant procedures has earned him many accolades and prestige.

Profile Highlights:

  • Dr. Avnish Kumar Seth is a well-renowned name in the field of gastroenterology. With fellowships in Liver transplant (Birmingham, UK) and Endoscopic ultrasound (South Carolina Alabama, USA), Dr. Avnish Seth’s areas of interest include treatment of hepatitis B, Hepatitis C, liver transplantation, and advanced GI endoscopic procedures.
  • Dr. Avnish Kumar Seth has over two decades of experience in Gastroenterology Hepatobiliary Sciences. An expert in Diagnostic Therapeutic GI Endoscopy, Colonoscopy, ERCP, and Liver Transplantation.

Profile Highlights:

  • Dr. Deepak Govil is one of the best Surgical Gastroenterologists in India, having over 29 years of experience in GI procedures. He has worked as a senior Gastro and laparoscopic surgeon at Indraprastha Apollo Hospitals.
  • Dr. Govil, the founder of PSRI’s Department of GI Surgery, has done a lot of significant GI surgical interventions.
  • He is well-known for having done liver transplants upon living donors. At Apollo Hospital, he has performed over 2000 surgeries that include the liver, gastrointestinal tract, and laparoscopic procedures.
  • In addition to his fieldwork, Dr. Govil has taught at prestigious medical institutes in Delhi.

Profile Highlights:

  • Dr. D K Bhargava is a Medical Gastroenterologist working at Indraprastha Apollo Hospitals, New Delhi.
  • He has 45 years of experience in his field.
  • Dr. Bhargava was a Professor of Gastroenterology at the All India Institute of Medical Sciences, New Delhi formerly.
  • Some of the services he provides are Colonoscopy, Gastroenteritis Treatment, Acidity Treatment, and Irritable Bowel Syndrome Treatment.
  • Exceptionally qualified Dr. D K Bhargava has received the Padma Shri Award and Dr. B C Roy National Award from the President of India.
  • He has published more than 150 articles, papers, and journals throughout his career.
  • He is a member of the American Gastroenterological Association, Indian Society of Gastroenterology and American College of Gastroenterology.

Profile Highlights:

  • Dr. Anupam Sibal is one of the best Pediatric Gastroenterologists in Delhi, having nearly 26 years of experience in treating GI and liver disorders.
  • He is a senior consultant for Pediatric Gastroenterology and Hepatology at Indraprastha Apollo Hospital, Delhi. Additionally, he is working as Group Medical Director of Apollo Hospitals.
  • He has expertise in Congenital Disorders Evaluation & Treatment, Growth & Development Management, injuries in children, and complete Paediatric health checkups.
  • Dr. Sibal went for International certifications and training to improvise.
  • Dr. Sibal won many National and International Awards for his excellent work.
  • Besides authoring 99 medical writing Dr. Sibal has written a bestselling book, “Is Your Child Ready to Face the World?” and edited/proofread a textbook on Gastroenterology & Hepatology.

Profile Highlights:

  • Dr. (Prof.) Mohamed Rela is known as one of the best liver transplant surgeons in the world. His name has also entered the Guinness Book of Records for performing liver transplantation of a 5-day-old baby.
  • With more than 30 years of experience, Dr. Rela is known as a pioneer in liver transplantation & hepatopancreatobiliary (HPB) surgery.
  • Dr. Mohamed Rela is the Chairman and Director of Dr. Rela Institute and Medical Centre, Chennai, India; and the Professor of Liver Surgery and Transplantation, at King’s College, Hospital in London as well.
  • During his career of almost 30 years, Dr. Rela has performed over 4500 liver transplantations worldwide.

Best Hospitals in India for Rectal Cancer Treatment

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi. With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Rectal Cancer

Rectal Cancer is a type of cancer that develops in the cells of the rectum. Your rectum is located below the sigmoid colon, above your anus. Cancer inside the rectum (known as rectal cancer) and inside the colon (known as colon cancer) are usually referred to together as colorectal cancer. Across, the world, colorectal cancer is the second most common cancer among females and the third most common among males.

Although in the past, people with rectal cancer mostly did not survive for the long-term, thanks to advanced treatment in the past few decades, the survival rates among people having rectal cancer have improved drastically.

Symptoms

In the early stages, rectal cancer might show no obvious symptoms. As the disease continues to develop, symptoms can include changes in bowel movement, rectal bleeding, as well as a thin stool. There might be other signs and symptoms as well, such as:

  • Fatigue
  • Weight Loss
  • Blood in the stool
  • Diarrhea and/or constipation
  • Bloating
  • Abdominal Pain
  • A feeling of being unable to empty the bowels

 

If your cancer metastasizes or spreads to other body parts, then symptoms can vary depending on where in the body your cancer is located. Some of the symptoms of metastatic rectal cancer include:

  • Persistent cough
  • Shortness of breath
  • Loss of appetite
  • Fatigue
  • Bone pain
  • Jaundice
  • Swelling in the hands and feet
  • Changes in vision or speech

Causes

Rectal cancer begins when your body’s healthy cells in the rectum develop changes or mutations in their DNA. A cell’s DNA contains all instructions that instruct it what to do.

These changes instruct the cells to grow uncontrollably and to continue living, whereas healthy cells would die normally. These accumulating cells can become a tumor. Within time, the cancer cells might grow to invade and destroy any healthy tissue nearby. And cancerous cells can break away and travel i.e. metastasize to any other parts of the body.

Generally, for most rectal cancers, it is unclear what leads to the mutations that cause cancer to form.

There are some inherited gene mutations as well, which can increase the risk of this cancer. One of these is known as Lynch syndrome. This disorder can raise the risk of colon and other cancers, especially before the age of 50.

Another such syndrome that increases the risk of rectal cancer is familial adenomatous polyposis. This disorder that can cause polyps in the lining of the colon and rectum is usually rare. Without treatment, it may increase the risk of colon or rectal cancer, especially before the age of 40.

Other risk factors for rectal cancer are:

  • Age- Diagnosis usually occurs after the age of 50, although rates are increasing among younger people.
  • Family history- Personal or family history of colorectal cancer can also increase risk.
  • Race- African Americans are at a higher risk than other ethnicities of developing rectal cancer.
  • Radiation therapy– If you have undergone radiation therapy in the abdominal area, it might increase risk.

 

Other conditions that may increase risk include:

 

Some lifestyle factors can sometimes play a role in colorectal cancer as well:

  • Diet with too few vegetables and too much red meat
  • Smoking
  • Lack of exercise
  • Consuming over three alcoholic drinks a week

Diagnosis

Your doctor is most likely going to begin by first taking your medical history. Then he/she will need to perform a physical examination.

Sigmoidoscopy

Next, a fecal immunochemical test or a sigmoidoscopy might also be recommended. If these steps are positive for cancer, the next step is going to be a colonoscopy.

Colonoscopy

A colonoscopy involves your doctor using a thin tube with a light and a camera at the end to view the inside of your rectum and colon. They are usually able to remove any polyps they can find at this time. During this test, your doctor can also collect tissue samples for later examination in a lab. These samples can be viewed under a microscope to determine if they are cancerous. They may also be tested for genetic mutations that are associated with colorectal cancer.

Blood test

Your doctor might need to order a blood test as well. A high level of carcinoembryonic antigen, a substance which is made by cancerous tumors, in your bloodstream can indicate rectal cancer.

Ultrasound

Once your doctor is able to confirm the diagnosis, the next step is going to involve determining how far it might have spread.

Your doctor might use an endorectal ultrasound in order to examine your rectum and its surrounding area. For this, your doctor will need to insert a probe into your rectum to produce a sonogram, a type of image.

Imaging tests

Your doctor might need to use other imaging tests as well, such as an X-ray or an MRI, to look for any signs of cancer throughout the body.

Treatment

Treatment for rectal cancer generally involves a combination of therapies. When possible, surgery is used to remove or cut away the cancer cells. Other treatments such as chemotherapy, and radiation therapy, might be used after the surgery, to kill any cancer cells that remain as well as reduce the risk that the cancer is going to return.

If the surgeons are concerned that your cancer is not removable completely, without hurting any nearby organs, then a combination of radiation therapy and chemotherapy might be recommended initially. These kinds of treatments can help in shrinking the cancer cells and make them easier to remove during the operation.

Surgery

Surgery is generally the most common and preferred method for removing the cancer cells. There are various kinds of surgeries that may be performed, depending on the location and stage of cancer, how aggressive the cells are, as well as your overall health, and your preferences.

The surgery can be of various types, including any of the following:

Removing very small cancers from the inside of the rectum

Very small rectal cancers can be removed with the help of a colonoscope or a specialized type of scope inserted through the anus. Surgical tools can be passed through the scope for cutting away cancer and some of the healthy tissue around it.

If your cancer is small and unlikely to spread to any nearby lymph nodes, then this procedure is an option. If a lab analysis indicates that your cancer cells are aggressive or more likely to spread to the lymph nodes, then it is likely that your doctor is going to recommend additional surgery.

Removing all or part of the rectum

This might be required for larger rectal cancers that are far enough away from the anal canal. It involves the removal of any nearby tissue and lymph nodes as well. This procedure can help in preserving the anus so that the waste is able to leave the body normally.

How this procedure will be performed, is going to depend on the location of the cancer. If your cancer is affecting the upper portion of the rectum, then this part of the rectum is removed, after which the colon is attached to the remaining rectum. All of the rectum might require removal as well if the cancer is located in the lower portion of the rectum. Then the colon is shaped into a pouch after which it is attached to the anus.

Removing the rectum and anus

If your rectal cancer is located near the anus, it might be not possible to remove cancer completely without damaging the muscles that control the bowel movements. In these situations, surgeons may recommend an operation which is termed abdominoperineal resection (APR). This involves removing the rectum, anus as well as some of the colon, and its nearby tissue and lymph nodes.

The surgeon then creates an opening in the abdomen and attaches the remaining colon to it. Waste is able to leave your body through this opening and collects in a bag attached to the abdomen.

Radiation therapy

Radiation therapy involves using powerful energy beams, such as X-rays and protons, to kill the cancer cells. In people who are suffering from rectal cancer, radiation therapy can also be combined with chemotherapy as it can make the cancer cells more likely to be damaged by radiation. It may be used after surgery as well, to kill any cancer cells that are remaining. It can be used before surgery as well, to shrink cancer, making it easier to remove.

Radiation therapy can also help in relieving symptoms like pain.

Chemotherapy

Chemotherapy involves using drugs to destroy cancer cells. For rectal cancer, chemotherapy might also be recommended after surgery in order to kill any cancer cells that are remaining.

Chemotherapy can also be combined with radiation therapy might before an operation to shrink large cancer so that it becomes easy removing it with surgery.

Chemotherapy may also be used to relieve symptoms of rectal cancer which is not removable with surgery.

Targeted drug therapy

Targeted drug treatments are meant to focus on specific abnormalities that exist within cancer cells. When these abnormalities are blocked, targeted drug treatments can lead to the death of the other cancer cells.

Targeted drugs are generally combined with chemotherapy. Generally, they are reserved for people having advanced rectal cancer.

Immunotherapy

Immunotherapy is a drug treatment that strengthens your immune system to fight cancer. Your body’s immune system might not attack your cancer as the cancer cells produce proteins and these hide them from the immune system cells. Immunotherapy can help to interfere with that process.

Immunotherapy is also generally reserved for advanced rectal cancer.

Prevention

Exercising for at least 30 minutes a day can help to increase the risk of rectal cancer. Eating a variety of fruits, vegetables, whole grains, and maintaining a healthy weight, can also help.

If you are a smoker, it is important to stop. If you choose to drink alcohol, drink it in moderation. For women, it should not exceed one drink a day, and for men, it shouldn’t exceed two.

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