Dr. Bharath G

Dr. Bharath G

Cancer Specialist - Surgical Oncologist,Gastrointestinal Surgeon

  Fortis Hospital, Bangalore, India

  4 Years of experience

BIOGRAPHY

Dr. Bharath G is one of the finest Cancer Specialist in India. He is an experienced Surgical Oncologist in the India. The Medical practitioner has been associated with various reputed hospitals in the India. The physician is currently working as a Associate Consultant, Fortis Hospital, India. The doctor is a well-reputed and sought after medical expert and is

  • MBBS
  • MS - General Surgery
  • MCh - Surgical Oncology

qualified. Dr. Bharath G has been associated with many hospitals over the course of his illustrious and experienced career.

The hospitals include:

  • Fortis Hospital, bangalore
  • Oncology India Hospital, Bangalore

Dr. Bharath G has more than 4 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Abdominoperineal Resection
  • Breast Cancer Treatment
  • Hemicolectomy
  • Lung Cancer Treatment
  • Mastectomy
  • Oncology
RESEARCH PAPERS AND PUBLICATIONS (2)
  • He has participated in several Annual conferences, workshops and have presented papers, journals and posters in national and state level conferences.
  • He has won the best award for paper presentation on the study of Tetanus cases.
Procedures
Abdominoperineal Resection

Abdominoperineal resection (APR) is a type of a surgery in which the anus, rectum, and sigmoid colon are removed through small cuts in the belly. It is a surgical procedure done primarily to remove the cancer of the rectum. Typically, abdominoperineal resection (AP) is conducted as an elective procedure. This procedure is most often used to treat rectum cancer if it is located very low in the rectum or in the anus, close to the sphincter muscles.

Nowadays, advanced surgical techniques and other treatment modalities have brought an increase in the rate of sphincter-sparing operations. However, APR surgery is still necessary in selected cases, especially if the patient has distal tumors or poor sphincter function.  AP resection is a major operation. During perineal resection, the rectum, distal colon, and anal sphincter complex are completely removed using both anterior abdominal and perineal incisions. Once the anus and rectum are removed, a permanent colostomy is needed to complete the procedure.

Colostomy brings the colon to an opening at the surface of the skin, which allows the waste to pass out of the body. This new opening is called stoma and usually measures from one to one-and-a-half inches in diameter. A pouch, or a stoma appliance, is needed to be worn at all times. The stoma has no sphincter muscles, so there is no conscious control over the elimination of waste products from the body after the procedure.

Breast Cancer Treatment

The recent advances made in breast cancer treatment have revolutionized the way how women from this rare disorder are diagnosed and suggested a personalized treatment plan. These advances have made it easier for the doctors to arrive at a treatment plan, which is most suitable for the patient as per their individual characteristics and needs.

Different breast cancer treatment options help destruct complex mixture of cancer cells, which are otherwise difficult to treat using conventional breast cancer treatment. The treatment is started by the doctors handling the case as soon as the breast cancer diagnosis is confirmed.

Before the article delves into the different breast cancer treatment options, lets first take a look at how breast cancer develops and what are its symptoms and diagnosis methods.

Breast cancer: What do the statistics say?

Breast cancer primarily affects females aged above 40. However, that does not mean that it does not affect women aged below 40. Breast cancer can also affect males, although rarely.

Breast cancer starts in the cells of either one or both the breasts. It accounts for more than 16 percent of female cancer and contributes to 18.2 percent of all deaths that take place around the world because of cancer.

In the US alone, breast cancer affects more than 232,000 females and 2,200 males each year. It leads to death of more than 39,000 breast cancer patients in a year.

Breast Cancer Symptoms

The symptoms of breast cancer can be easily identified at home through breast self-examination. You should consult your physician on how to conduct this exam at home.

The most common breast cancer symptoms include:

  • Change in the size or shape of the breast
  • Lump in the breast
  • Swelling in armpit
  • Change in colour and shape of the nipples
  • Rash, redness or pitting on the breast skink
  • Pain in the breast or armpits
  • Abnormal discharge from the nipples

In case of more aggressive breast cancer called inflammatory breast cancer, severe redness and itching may be present.

The patients are advised to contact their physician as soon as they notice any of the symptoms of breast cancer. The physician is the best person to diagnose whether it is normal or inflammatory best cancer, and accordingly, suggest treatment for breast cancer.

Breast Cancer Causes

The exact reason that causes breast cancer is unclear, despite the fact that every eighth woman suffers from it. However, there are several factors that have been associated with the development of breast cancer. Some of the breast cancer risk factors include:

  • Prolonged use of birth control pills
  • Obesity
  • Use of hormone replacement therapy
  • High breast density
  • Alcohol addiction
  • No history of pregnancy
  • Pregnancy after 35
  • Exposure to radiation

The risk of breast cancer naturally increases as women age. The risk is also higher in women who have a family history of breast or ovarian cancer, possess BRCA1 and BRCA2 genes or who have had their periods before the age of 12.

Hemicolectomy

The last part of the gastrointestinal system is referred as the colon and it is 5-6 cm long. It is ‘U’ shaped and it starts from the distal part of the small intestine and is connected to the rectum and anus. It absorbs the fluids, processes the metabolic waste products, and eliminates through the rectum and anus. The removal of the colon is called colectomy.

There are different types of colectomies such as complete colectomy,  right hemicolectomy, left hemicolectomy, sigmoid colectomy, and proctocolectomy. The surgical removal of the left side of the colon (descending colon) is called left hemicolectomy surgery. The surgical removal of the cecum, ascending colon, and the hepatic flexure (right side of the colon) is called as the right hemicolectomy surgery.

Some of the conditions that require complete colectomy or hemicolectomy surgery include the following:

  • Colon cancer
  • Crohn’s disease
  • Blockage of the colon
  • Precancerous polyps
  • Hereditary polyps
  • Benign tumours
  • Irritable bowel syndrome (IBS)
  • Gastrointestinal bleeding
  • Bowel twisting and obstruction
  • Ulcerative colitis
  • Appendicitis with inflammation of the cecum
  • Right-side colonic diverticular disease (diverticulosis)

A hemicolectomy procedure can be performed as a laparoscopic or open surgery. The type of the surgery to be performed is decided by the surgeon during the evaluation and the decision depends on the age and the condition of the patient.

Sometimes the laparoscopic procedure can also be turned into open surgery, depending on the feasibility of the procedure with respect to safety and accuracy. Overall, the following parameters decide whether a laparoscopic or an open surgical procedure will be performed:

  • Age
  • Diagnosis
  • Medical history
  • Personal preference
Lung Cancer Treatment

Lung cancer is an uncontrolled growth of cells that start off in the lungs. Usually, lung cancer starts in the cells that line the air passages. Instead of developing into healthy lung tissue, the cells divide rapidly and form tumours.

Lung cancer can grow and spread beyond the lung to reach other parts of the body through metastasis. Lung cancers can begin in any part of the lung, but 90 percent of lung cancers begin in the epithelial cells, which are the cells lining the larger and smaller airways also known as bronchi and bronchioles.

This is the reason why lung cancers are sometimes called bronchogenic cancers or bronchogenic carcinomas. Lung cancer is the most common cancer in the world, among both men and women. It is the leading cause of cancer deaths worldwide.

Lung Cancer: Causes and Risk Factors

Long-term smoking is the main cause of lung cancer. After smoking, genetic factors and exposure to radon gas, asbestos, second-hand smoke or other forms of air pollution can also increase the risk of lung cancer.

Types of Lung Cancer

There are two major types of lung cancers, based on the appearance of lung cancer cells under the microscope:

  • Non-small cell lung cancer (NSCLC): It is an umbrella term for several types of lung cancers that behave in a similar way, such as squamous cell carcinoma, adenocarcinoma, and large cell carcinoma.
  • Small cell lung cancer (SCLC): This type of lung cancer occurs mostly in heavy smokers and it is less common than non-small cell lung cancer. 

Lung Cancer Stages

It is necessary to determine the stage of lung cancer by finding out how far cancer has spread, before initiating treatment of lung cancer.
The following are the four lung cancer stages of NSCLC:

  • Stage 1 lung cancer: Cancer is restricted to the lung
  • Stage 2 lung cancer: Cancer has spread to the nearby lymph nodes
  • Stage 3 lung cancer: (3a) Cancer is in the lung and the lymph nodes located on the same side  (3b) Cancer is in the lung and has spread to lymph nodes on the opposite side
  • Stage 4 lung cancer: Cancer has spread to both the lungs and other organs and surrounding tissues

The following are the two lung cancer stages of SCLC:

  • Limited stage: Cancer is present in just one lung and lymph nodes on the same side of cancer.
  • Extensive stage: Cancer has spread throughout the lung or both the lungs, to the lymph nodes on the opposite side, to the bone marrow, and to the distant organs.

After the determination of stage, treatment of lung cancer starts with choosing the best suitable option for the patient. However, there is usually no single treatment for lung cancer. So the patient often receives a combination of therapies and palliative care. 

Lung Cancer Symptoms

Lung cancer symptoms may vary, depending upon where and how widespread the tumour is. A person with lung cancer may have following lung cancer symptoms:

  • A persistent or chronic coughing
  • Pain in chest, shoulder or back
  • Difficulty in breathing and shortness of breath
  • Hoarseness or change of voice
  • Chronic bronchitis, pneumonia or respiratory infections
  • Blood in the sputum and cough


Stage 3 lung cancer symptoms include the following:

  • Wheezing
  • General pain in the chest or when breathing
  • Persistent cough with or without blood
  • Altered voice
  • Loss of appetite
  • Unplanned weight loss
  • Fever, headache, weakness, and bone pain
  • Difficulty swallowing
Mastectomy

Mastectomy refers to the partial or complete surgical removal of one or both the breasts. This surgery is most often indicated for breast cancer.

A lump in the breast or armpits is one of the earliest signs of breast cancer. It can cause a change in the shape, size, or color of the breast or nipple. Nipple tenderness, inward folding of the nipple, discharge from the nipple, and orange peel appearance of the skin of the breast are the other signs of breast cancer. Patients who observe any of the above-mentioned signs must see their physician immediately.

Who are advised to undergo breast cancer mastectomy?

Your physician may recommend you to undergo a partial or full mastectomy in the following conditions:

  • If you have a massive malignant tumor in the breast or invasive ductal carcinoma
  • If you have had a recurrent breast cancer after initial lumpectomy
  • If you are pregnant and have been diagnosed with breast cancer and radiation therapy is contraindicated
  • If you have a medical history of scleroderma and have been diagnosed with breast cancer
  • If you are diagnosed with breast cancer and have a lump in the armpits

Additionally, if you have a family history of breast cancer or deleterious mutation of BRCA 1 and BRCA 2 genes, you are advised preventive mastectomy.

Frequently Asked Questions
What area of specialization does Dr. Bharath G have?
Dr. Bharath G is specialized in India and of the most sought after doctors in Cancer Specialist.
Does Dr. Bharath G offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Bharath G have?
Dr. Bharath G is one of the most sought after specialists in India and has over 4 Years years of experience.
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