Pancreatic Cancer Treatment

Dr. Vivek Mangla

MBBS, MS(MAMC), FAIS, MCh (AIIMS), FACRSI (Gold Medallist), FAIS

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Pancreatic Cancer Treatment in Delhi NCR

Advanced Surgical Care by Dr Vivek Mangla

A cancer that develops within the pancreas falls into two major categories: (1) cancers of the endocrine pancreas (the part that makes insulin and other hormones) are called "islet cell" or "pancreatic neuroendocrine tumors or PNETs". Islet cell cancers are rare and typically grow slowly. Islet cell tumors often release hormones into the bloodstream and are further characterized by the hormones they produce (insulin, glucagon, gastrin, and other hormones). and (2) Cancers of the exocrine pancreas (the part that makes enzymes). These are more common and dangerous as they usually remain asymptomatic till late stages of spread of disease.

Appleby's procedure: surgery to remove advenced pamcreatic cancer

Surgery is the only potentially curative treatment for pancreatic cancer. The surgical procedure most commonly performed to remove a pancreatic cancer is a Whipple procedure (pancreatoduodenectomy) or a more refined procedure called pylorus preserving pancreaticoduodenectomy which we specialize in. The latter procedure has the advantage of preserving the entire stomach resulting in ability to take full meals (due to preservation of reservoir capacity of stomach), and also its function (aiding Vitamin B12, iron and calcium absorption). It often comprises removal of a portion of the stomach, the duodenum (the first part of the small intestine), pancreas, and a portion of the main bile duct, lymph nodes, and gallbladder. Unfortunately, some patients have pancreatic tumours that are too locally advanced to completely remove or have metastatic spread at the time of diagnosis. Even these patients, with help of multimodality treatment comprising chemotherapy, surgery and if needed radiotherapy, have a good chance at cure.

Pancreatic cancer requires highly specialized, precision-based treatment. If you are searching for an experienced pancreatic cancer surgeon in Delhi NCR, Dr Vivek Mangla offers advanced multidisciplinary treatment and surgery and with a strong focus on safety, outcomes, and compassionate guidance.

With over 20+ years of experience in GI & HPB Surgery & Surgical Oncology, Dr Mangla is known for managing complex pancreatic tumors including borderline resectable and locally advanced cancers.

Why Choose Dr Vivek Mangla for Pancreatic Cancer Surgery?

Specialist in GI & HPB Cancer Surgery

Pancreatic cancer treatment demands expertise in hepatopancreatobiliary (HPB) surgery. Dr Mangla specializes exclusively in cancers of the pancreas, liver, bile duct, stomach, and colon.

Expertise in Whipple Procedure (Pancreaticoduodenectomy)

The Whipple surgery is one of the most complex abdominal operations. Dr Mangla performs advanced pancreatic resections with careful vascular assessment and reconstruction when required.

Multidisciplinary Cancer Care Approach

Treatment planning includes coordination with:

  • Medical oncology (chemotherapy)
  • Radiation oncology (if required)
  • Interventional radiology
  • Onco-nutrition and rehabilitation

Advanced & Minimally Invasive Techniques

Where appropriate, laparoscopic and advanced surgical approaches are considered to enhance recovery and reduce hospital stay.

Treatment at Leading Hospitals in Delhi NCR

Dr Mangla is associated with:

  • Max Super Speciality Hospital Patparganj
  • Max Super Speciality Hospital Vaishali

These centres are equipped with advanced operation theatres, ICU support, comprehensive oncology services, and post-operative care infrastructure.

What Conditions Are Treated?

Dr Vivek Mangla manages:

  • Pancreatic adenocarcinoma
  • Periampullary cancer
  • Borderline resectable pancreatic cancer
  • Locally advanced pancreatic tumors
  • Pancreatic neuroendocrine tumors (PNETs)
  • Recurrent pancreatic cancer
  • Pancreatic cystic tumors/neoplasms
  • Complications of chronic pancreatitis requiring surgery

Symptoms of Pancreatic Cancer

Seek specialist consultation if you experience:

  • Persistent upper abdominal or back pain
  • Unexplained weight loss
  • Jaundice (yellowing of eyes/skin)
  • Loss of appetite
  • Recent onset diabetes without clear cause
  • Digestive issues or pale stools

Early evaluation increases treatment options and improves outcomes.

Pancreatic Cancer Treatment Options

Treatment depends on stage and overall health.

Surgery (Curative Intent)

  • Whipple procedure
  • Distal pancreatectomy
  • Total pancreatectomy (selected cases)
  • Vascular resection & reconstruction (when indicated)

Neoadjuvant Therapy

Chemotherapy before surgery to shrink tumor in borderline cases to improve overall outcomes

Adjuvant Chemotherapy

Post-surgical therapy to reduce  risk of recurrence (disease coming back)

Palliative Procedures

For advanced cases:

  • Biliary bypass
  • Gastrojejunostomy
  • Pain management interventions

Treatment Process

Step 1: Detailed Evaluation

  • Contrast CT / MRI, PET CT if needed
  • Tumor markers (CA 19-9)
  • Staging assessment

Step 2: Multidisciplinary Tumor Board Review

Step 3: Personalized Treatment Plan and its execution

Step 4: Surgery & Recovery

Step 5: Long-Term Follow-Up & Surveillance

Second Opinion for Pancreatic Cancer in Delhi

If you or a family member has been advised surgery for pancreatic cancer, you should seek an expert second opinion from Dr Vivek Mangla for clarity on:

  • Resectability assessment
  • Need for chemotherapy before surgery
  • Risk evaluation
  • Alternative treatment strategies

Book appointment for Consultation

Early expert consultation can significantly impact outcomes in pancreatic cancer.


FAQ's

Is pancreatic cancer curable?

Early-stage pancreatic cancer can be treated with surgery followed by chemotherapy. Outcomes depend on stage and overall health.

How risky is Whipple surgery?

It is a major surgery that requires experienced hands and advanced ICU support. Choosing a right specialist improves safety and recovery outcomes.

Do you offer treatment for advanced pancreatic cancer?

Yes. Both surgical and non-surgical management options are available and routinely offered depending on disease stage.

Our Locations

Rajouri Garden, West Delhi

Our Rajouri Garden clinic serves as a key center for pancreatic cancer treatment in West Delhi. Conveniently located near Rajouri Garden Metro Station, the clinic is easily accessible for patients from Janakpuri, Punjabi Bagh, Paschim Vihar, Tilak Nagar, Subhash Nagar and Kirti Nagar.

Patients searching for a GI cancer surgeon in West Delhi or a liver and pancreas specialist near Rajouri Garden frequently consult here for advanced HPB surgery, minimally invasive GI cancer procedures and multidisciplinary cancer care. The location offers seamless metro and road connectivity for patients seeking expert surgical evaluation.

GI Onco Surgeon in Patparganj, East Delhi

Max Super Speciality Hospital, Patparganj – Principal Director, GI, HPB & Liver Transplant Surgery

At Max Super Speciality Hospital, Patparganj, Dr Vivek Mangla serves as Principal Director – GI, HPB & Liver Transplant Surgery, offering advanced surgical care for patients seeking a Pancreatic Cancer Specialist in East Delhi and expert Gastro Cancer Surgery near Preet Vihar and Mayur Vihar.

Conveniently accessible from Laxmi Nagar, IP Extension and Anand Vihar, this center provides comprehensive management of pancreatic tumors, liver cancer, bile duct cancer and colorectal malignancies. With state-of-the-art operation theatres, advanced ICU support and multidisciplinary tumor board planning, patients receive evidence-based GI and HPB oncology treatment backed by one of the region’s leading tertiary care hospitals.

GI Onco Surgeon in Vaishali, Ghaziabad

Max Super Speciality Hospital, Vaishali – Principal Director, GI, HPB & Liver Transplant Surgery

At Max Super Speciality Hospital, Vaishali, Dr Vivek Mangla practices as Principal Director – GI, HPB & Liver Transplant Surgery, offering specialized Pancreatic Cancer Treatment in Ghaziabad and advanced GI Cancer Surgery near Indirapuram and Kaushambi.

Strategically located near Vaishali Metro Station and easily reachable from Indirapuram, Kaushambi, Vasundhara, Sahibabad and Ghaziabad, this center ensures patients can access expert pancreatic, liver and gastrointestinal cancer care without travelling into central Delhi.

With advanced surgical technology, dedicated oncology pathways and comprehensive pre- and post-operative care, patients across Ghaziabad and East Delhi NCR benefit from senior-level expertise within a full-fledged super-speciality hospital setup.