Dr. Sumanta Dutta (Gastrointestinal Surgeon) completed his MBBS from Burdwan Medical College, West Bengal. He then went to the United Kingdom for further education and training. He completed his basic surgical training and MRCS from the Royal College of Surgeons of Edinburgh (RCSEd). Furthermore, he researched the field of surgical oncology at the University of Glasgow and obtained his research degree (MD). He continued higher surgical training through National Training Number (UK) and completed Intercollegiate FRCS from RCSEd. He obtained a Certificate of Completion of Training (CCT) in surgery. Following this, he completed a one-year post-CCT fellowship (as a part of the Royal College of Surgeons of England Senior Clinical Fellowship Programme) in Advanced Laparoscopy and Bariatric Surgery at St Richard's Hospital, England. He has over 19 years of experience in this field.
Gastric Intestine Cancer (Gastric Intestinal Tract Cancer) starts from one’s mouth, the oesophagus (food pipe), followed by the stomach, Goodenia, small bowel, large bowel, rectum, and inoculum. In the meantime, it is the liver, gallbladder, and pancreas. Any cancer in the structure of these organs will be a gastrointestinal cancer. Gastric Intestine Cancer is very common; particularly, in the modern days due to our lifestyle and food habits.
The surgeries are very complicated. A specialist is necessary to perform this surgery on cancer patients for optimum or the best kind of outcome.
Partial Gastric Surgery is only necessary when the cancer is present near the stomach. This surgery involves taking away 70-80% of the stomach and rejoining the left part of the stomach to the bowel. Total Gastric Surgery is when the cancer is present in the upper part (proximal) of the stomach. In this case, the whole stomach is removed, and the food pipe is joined to the bowel. These operations can be performed in a laparoscopic fashion (microsurgery), to make it more convenient for the patients.
Bariatric surgery is surgery for the obese. It treats and prevents diseases related to obesity (Diabetics) apart from heart attack, high blood pressure, high lipid level, high cholesterol level, infertility, or PCOD diseases. Some of the cancers are related to obesity like Colon cancer, Breast cancer, and Endometrial cancer. It helps in reducing weight, benefits the patient’s metabolism and health, and prevents obesity-driven diseases. This surgery does involve the stomach. However, this surgery is completely different from cancer surgery. Most Bariatric Surgeries are done on a Laparoscopic procedure and it can be done in a couple of hours.
Bariatric Surgery has long-term effects such as a deficiency of vitamins and minerals in the body. This can be addressed through follow-ups. Supplements are provided. Dr.Dutta also states that different surgeries require different supplements, hence, this depends on the scenarios.
Palliative Surgery for cancer patients has become uncommon in this modern era due to the surge in Endoscopic, and Chemotherapy treatment. However, if the patient suffers from bleeding or obstruction, then the patient can be benefitted from Palliative Surgery.
Palliative surgeries performed on patients do not make them curable because of their nature.
Colon rectal cancer has undergone thorough research. Colon Rectal Cancer is treatable with direct surgery and by chemotherapy or radiotherapy. It depends on the stage and the site of the cancer. Colon Rectal Cancer has a massive improvement in its survival rate in this modern-day age because of the improvement in various techniques such as minimal or laparoscopic colon-rectal surgery recessions.
Dr.Dutta claims to perform this surgery day in and out. Robotic colorectal surgery is also performed. Multi-modal treatments are also available such as chemotherapy, radiotherapy, or a combination of preoperative or postoperative which increase the survival rate of colorectal cancer patients.
COVID has affected Cancer patient’s lives in multi-dimensional ways. Firstly, cancer patients who get COVID-19 suffer from a poor immune system, which makes it worse. Secondly, due to the fear of COVID-19, cancer patients present themselves in the later stages of their treatment. Thirdly, lack of access to hospitals also plays a major role. Dr Dutta also highlights the fact that after COVID is over, there will be a surge in the diagnosis of cancer patients not only in India but also worldwide.
He is apprehensive due to the delay in surgeries and diagnosis because of the pandemic. Dr.Dutta urges cancer and COVID patient survivors to consult with the Doctor, as early as possible.
The follow-up is as important as the surgery. It is to check any differences in the body or the body mechanism that requires attention. Regular investigations and routine check-ups are necessary to check for the relapse of cancer.
Dr.Dutta also lets the viewers know that the follow-up procedure of chemotherapy and radiotherapy is as important as the surgery to make sure that the treatment is complete. Moreover, the patients need to stick to the post-protocol to improve the survival rate of the cancer patients.
Dr.Dutta claims that it has been a challenge to balance his personal and professional life, since his start at his medical school. He emphasizes the fact that it is a busy, and demanding job, as he has to deal with morbid patients; particularly, cancer patients. He also highlights the fact that the cancer patient’s expectations and behaviour can be challenging; sometimes, it is their duty to address all of their problems- pros and cons to convey to the patients a clear idea about their expectations from the disease.
He also mentions that the patients are unable to grasp and comprehend the procedure of cancer in one go when they are already anxious about the diagnosis of cancer. Hence, it is the Doctor’s job to explain the procedure in detail and spend time with them to make sure that the patient is comfortable and conservative with the treatment protocol.
ZenOnco.io is an organization addressing cancer patients’ needs. They can guide the patients without any reservations or interests, but just by collecting the patient’s information and data and considering the hospital’s specialization to treat the patients appropriately.
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