Symptom Palliation in Advanced GallBladder Cancer: An Institutional Experience

Amit Gupta; Sweety Gupta; Udit Chauhan; Utkarsh Kumar; Nidhi Sharma; Rachit Ahuja; Deepak Rajput; Manoj Gupta

doi:10.4103/IJPC.IJPC_94_19

Symptom Palliation in Advanced GallBladder Cancer: An Institutional Experience

Indian J Palliat Care. 2019 Oct-Dec;25(4):514-516. doi: 10.4103/IJPC.IJPC_94_19.

Authors

Amit Gupta¹, Sweety Gupta², Udit Chauhan³, Utkarsh Kumar¹, Nidhi Sharma², Rachit Ahuja², Deepak Rajput¹, Manoj Gupta²

Affiliations

¹ Department of Surgery, AIIMS, Rishikesh, Uttarakhand, India.
² Department of Radiation Oncology, AIIMS, Rishikesh, Uttarakhand, India.
³ Department of Radiodiagnosis, AIIMS, Rishikesh, Uttarakhand, India.

Abstract

Aim: Palliation of symptoms of patients with advanced carcinoma gallbladder (GB).

Materials and methods: Sixty-two newly diagnosed patients of unresectable advanced and metastatic GB cancers were enrolled, and following clinicoradiological assessment patients were considered for palliative symptom management.

Results: The most common presenting symptom was pain in 57 (92%) patients. Obstructive jaundice was observed in 29 (46.7%) patients. Patients were considered for percutaneous biliary drainage/internal stenting, therapeutic ascitic tapping, and pain control. Patients with good performance status were considered for palliative chemotherapy.

Conclusion: Patients with advanced carcinoma GB were managed with various palliative procedures with the aim to improve the quality of life of patients because of jaundice, loss of appetite, nausea, pain, etc. Symptoms are distressing for patients.

Keywords: Advanced gallbladder cancer; obstructive jaundice; palliation.