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Diseases we treat

Gold Ribbon

At our Surgery, we treat a wide range of cancers (see below for more information). Our team of experts is experienced in the diagnosis and treatment of these cancers, allowing us to provide excellent care and support to our patients. We also strive to stay up-to-date on the latest treatments and technologies to ensure the best possible outcomes.

Ampullary Cancer

Ampullary (AM-poo-la-ree) cancer is a rare cancer that develops in the ampulla of Vater where the bile duct and pancreatic duct meet. It is more common in older individuals and can be associated with genetic conditions and chronic inflammation. Symptoms include jaundice, abdominal pain, weight loss, and digestive issues. Treatment involves surgery, chemotherapy, and radiation therapy, with surgical removal being the primary approach. Early detection and treatment are crucial for better outcomes.

Bile Duct Injury

Bile duct injury refers to damage or trauma to the bile ducts, which can occur during surgical procedures. It can range from minor tears to complete transection of the duct. Symptoms include abdominal pain, jaundice, and changes in bowel movements. Diagnosis involves imaging tests, and treatment may involve surgical repair, stent placement, or liver transplantation. Prompt recognition and appropriate management are essential to prevent complications and ensure optimal bile flow.

Autoimmune Pancreatitus

Autoimmune pancreatitis is a rare condition where the immune system mistakenly attacks the pancreas, causing inflammation. It is often associated with other autoimmune diseases and can occur at any age. Symptoms include abdominal pain, weight loss, and digestive problems. Treatment involves using corticosteroids to reduce inflammation and manage symptoms. With appropriate treatment, most individuals with autoimmune pancreatitis can experience significant improvement in their condition.

Bile Duct Obstruction

Bile duct obstruction refers to a blockage in the ducts that carry bile from the liver to the small intestine. It can occur due to various reasons, such as gallstones, tumors, inflammation, or strictures. Symptoms may include abdominal pain, jaundice, dark urine, pale stools, and digestive issues. Diagnosis involves imaging tests, and treatment options depend on the cause and severity of the obstruction but may include removing gallstones, surgical intervention, or placing a stent to keep the duct open. Prompt identification and management of bile duct obstruction are important to relieve symptoms and prevent complications.

Bile Duct Cyst

A bile duct cyst, also known as a choledochal cyst, is a rare congenital abnormality characterized by an abnormal dilation or swelling of the bile ducts. It occurs when there is a structural defect in the development of the bile duct system during fetal development. Bile duct cysts can vary in size and shape and may be classified into different types based on their location and characteristics. Symptoms may include abdominal pain, jaundice, fever, nausea, vomiting, and an enlarged abdomen. Complications such as infection, bile duct obstruction, and liver damage can arise if left untreated. Diagnosis typically involves imaging tests, such as ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). Treatment usually involves surgical removal of the cyst and reconstruction of the bile ducts. Early detection and appropriate management are essential to prevent complications and maintain optimal liver function.

Bile Duct Stones

The management of bile duct stones (choledocholithiasis) typically involves the removal of the stones to relieve symptoms and prevent complications. The specific approach to managing choledocholithiasis depends on the severity of the condition and the individual patient's overall health. Here are some common methods used for managing choledocholithiasis: - Endoscopic Retrograde Cholangiopancreatography (ERCP): ERCP is a minimally invasive procedure used to remove stones from the common bile duct. During the procedure, a flexible tube with a camera (endoscope) is passed through the mouth, down the esophagus, and into the small intestine. A dye is then injected into the bile ducts to visualize the stones, and they are removed using specialized tools. - Laparoscopic Common Bile Duct Exploration (LCBDE): In cases where ERCP is not feasible or unsuccessful, a laparoscopic surgical approach may be used. This involves making small incisions in the abdomen and using a camera and surgical instruments to remove the stones from the common bile duct. - Open Surgery: In certain complex cases or when laparoscopic techniques are not suitable, traditional open surgery (choledocholithotomy) may be performed to remove the stones from the common bile duct. - Shock Wave Lithotripsy (SWL): This non-invasive procedure uses shock waves to break up the stones, making them easier to pass naturally or to be removed through other methods.Medications: In some cases, medications may be used to dissolve certain types of gallstones. However, this approach is less common and may take a long time to achieve the desired results. The choice of management will depend on factors such as the size and location of the stones, the patient's overall health, and the expertise and preferences of the medical team. Prompt treatment is essential to prevent complications such as biliary obstruction, infection (cholangitis), or pancreatitis.It's crucial to consult with a healthcare professional to determine the most appropriate management plan for choledocholithiasis based on individual circumstances and the severity of the condition.

Bile Duct Strictures

Bile duct strictures refer to the narrowing or constriction of the bile ducts, which obstructs the normal flow of bile. They can occur due to various causes, including inflammation, scarring, or previous surgical procedures. Bile duct strictures can lead to symptoms such as abdominal pain, jaundice, and digestive problems. Diagnosis involves imaging tests, such as MRCP or ERCP, to visualize the strictures. Treatment options depend on the severity and location of the strictures but may include endoscopic procedures to widen the ducts, stent placement to keep them open, or surgical intervention for more complex cases. Timely management of bile duct strictures is important to relieve symptoms, prevent complications like infection or liver damage, and restore proper bile flow.

Duodenal Cancer

Duodenal cancer is a malignant tumor that develops in the duodenum, the first part of the small intestine. It is relatively rare and can arise from the cells lining the duodenum. The exact cause is unclear, but factors like smoking, genetic conditions, and chronic inflammation may increase the risk. Symptoms include abdominal pain, weight loss, bowel habit changes, and digestive issues. Diagnosis involves imaging tests, endoscopy, and biopsy. Treatment options depend on the cancer stage and may involve surgery, radiation, or chemotherapy. Early detection and treatment are important for better outcomes.

Carcinoid Tumors

Carcinoid tumors are a type of slow-growing neuroendocrine tumor that can develop in various organs, most commonly in the gastrointestinal tract and lungs. These tumors arise from neuroendocrine cells and can produce hormones and other substances. Carcinoid tumors often have few or no symptoms in the early stages, but as they grow larger or spread, they can cause symptoms such as flushing, diarrhea, abdominal pain, wheezing, and heart valve problems. Diagnosis involves imaging tests, such as CT scans or MRIs, and blood tests to measure hormone levels. Treatment options include surgical removal, medication to control hormone production and symptoms, and in some cases, targeted therapies or chemotherapy. Regular monitoring and follow-up care are essential due to the potential for tumor growth and metastasis.

Gallbladder Cancer

Gallbladder cancer is a rare and aggressive tumor that forms in the tissues of the gallbladder. Symptoms may include abdominal pain, jaundice, weight loss, and digestive issues. Diagnosis involves imaging tests, blood tests, and sometimes a biopsy. Treatment options include surgery, radiation therapy, and chemotherapy. Early detection is crucial for better outcomes.

Cholangiocarcinoma

Cholangiocarcinoma, also known as bile duct cancer, is a malignant tumor that originates in the cells lining the bile ducts. It is a rare and aggressive form of cancer that can occur at any location along the bile ducts, from the liver to the small intestine. Cholangiocarcinoma is often diagnosed at advanced stages, making it challenging to treat. Common symptoms include jaundice, abdominal pain, weight loss, and digestive problems. Diagnosis involves imaging tests, such as CT scans or MRIs, as well as blood tests and sometimes a biopsy. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches. The prognosis for cholangiocarcinoma depends on various factors, including the stage of cancer at diagnosis and the overall health of the patient. Early detection and timely intervention are crucial for better outcomes.

Gallbladder Polyps

The management of gallbladder polyps depends on their size, number, and characteristics. Gallbladder polyps are growths that protrude from the inner lining of the gallbladder wall. Most gallbladder polyps are benign, but some can be malignant or have the potential to become cancerous. Here are the general approaches to managing gallbladder polyps: - Observation and Monitoring: Small gallbladder polyps (less than 5 mm) that are asymptomatic and have a low risk of malignancy may be managed through regular monitoring with periodic ultrasound or other imaging tests. If the polyps remain stable over time, no further intervention may be required. - Surgical Removal (Cholecystectomy): Larger gallbladder polyps (10mm or larger), polyps that are present in patient with primary sclerosing cholangitis or polyps that show suspicious characteristics on imaging tests may warrant surgical removal of the entire gallbladder (cholecystectomy). This is especially true if the polyps are causing symptoms, are growing rapidly, or are associated with other risk factors for malignancy. It's crucial to consult with a qualified healthcare professional to determine the most appropriate management plan for gallbladder polyps. They can assess individual risk factors, perform appropriate imaging tests, and provide personalized recommendations based on the specific characteristics of the polyps and the patient's overall health. Early detection and appropriate management of gallbladder polyps are essential to prevent potential complications and ensure the best possible outcome.

Gastrointestinal Stromal Tumor

Gastrointestinal stromal tumors (GISTs) are rare tumors that can occur in the digestive tract. They arise from specialized cells and can be either benign or malignant. Symptoms include abdominal pain, bleeding, and nausea. Diagnosis involves imaging tests and biopsy. Treatment options include surgery, targeted therapies, and chemotherapy. Regular monitoring is important due to the potential for recurrence or spread.

IPMN

Intraductal papillary mucinous neoplasm (IPMN) is a type of pancreatic tumor that forms within the pancreatic ducts. It is characterized by the excessive production of mucin, a thick, sticky fluid. IPMN can be benign or malignant and is typically detected incidentally during imaging tests or when symptoms such as abdominal pain or jaundice arise. Diagnosis involves imaging tests, such as MRI or CT scans, and sometimes a biopsy. Treatment options depend on the size, location, and characteristics of the tumor, and may involve surgery to remove the affected portion of the pancreas. Regular monitoring is important due to the potential for progression to cancer.

Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common type of liver cancer. It typically arises in individuals with underlying liver conditions such as hepatitis B or C, cirrhosis, or fatty liver disease. HCC is often diagnosed at advanced stages and can cause symptoms like abdominal pain and weight loss. Diagnosis involves imaging tests and sometimes a biopsy. Treatment options include surgery, liver transplantation, ablation techniques, targeted therapies, or chemotherapy. Early detection and management of liver diseases are important for reducing the risk of HCC.

Liver Cancer

Liver cancer, also known as hepatocellular carcinoma (HCC), is a serious malignancy that originates in the liver cells. It is often associated with underlying liver diseases and can cause symptoms such as abdominal pain, weight loss, and jaundice. Diagnosis involves imaging tests and sometimes a biopsy. Treatment options depend on the cancer stage and may include surgery, transplantation, ablation techniques, targeted therapies, or chemotherapy. Early detection and appropriate treatment are important for better outcomes.

Hilar cholangiocarcinoma

Hilar cholangiocarcinoma, also called Klatskin tumor, is a rare and aggressive cancer that occurs at the junction of the left and right hepatic ducts in the liver. It can cause symptoms like jaundice, abdominal pain, and weight loss. Diagnosis involves imaging tests and sometimes a biopsy. Treatment options include surgery, radiation therapy, and chemotherapy. Early detection and prompt treatment are important for better outcomes.

Liver Cyst

A liver cyst is a fluid-filled sac that forms in the liver. It is typically a benign condition and often does not cause any symptoms or health problems. Treatment is usually not necessary unless the cyst becomes large or symptomatic. Regular monitoring is recommended to ensure the cyst remains stable.

Liver Hemangioma

A liver hemangioma is a benign tumor that develops in the liver. It consists of a collection of blood vessels and is one of the most common types of liver tumors. Liver hemangiomas are usually small and do not cause symptoms or health issues. They are often discovered incidentally during imaging tests for other conditions. Treatment is typically not required for liver hemangiomas, unless they grow large or cause discomfort. Regular monitoring may be recommended to ensure the hemangioma remains stable and does not show any signs of growth or complications. In most cases, liver hemangiomas are harmless and do not require intervention.

Pancreatic Cancer

Pancreatic cancer is a highly aggressive malignancy that develops in the pancreas. It is often diagnosed at advanced stages and has a poor prognosis. Symptoms include abdominal pain, weight loss, and jaundice. Treatment options depend on the stage and may include surgery, radiation therapy, chemotherapy, and targeted therapies. Early detection is challenging, but ongoing research offers hope for improved outcomes in the future.

Liver Tumors

A liver tumor refers to an abnormal growth or mass that develops in the liver. Tumors in the liver can be either benign (non-cancerous) or malignant (cancerous). Benign liver tumors, such as hemangiomas or adenomas, are usually harmless and rarely cause symptoms. Malignant liver tumors, such as hepatocellular carcinoma or cholangiocarcinoma, are more serious and can be life-threatening. Symptoms may include abdominal pain, weight loss, jaundice, and fatigue. Diagnosis involves imaging tests, blood tests, and sometimes a biopsy. Treatment options depend on the type, size, and stage of the tumor and may include surgery, radiation therapy, chemotherapy, targeted therapies, or liver transplantation. Early detection and appropriate treatment are crucial for better outcomes in liver tumor cases.

Pancreatic Cysts

Pancreas cysts, also known as pancreatic cysts, are fluid-filled sacs that can develop in or on the pancreas. The pancreas is an organ located behind the stomach that plays a vital role in digestion and in regulating blood sugar levels by producing hormones like insulin and glucagon. Pancreas cysts can vary in size and type, and they may be detected incidentally during imaging tests performed for other reasons. Most pancreas cysts are benign and do not cause any symptoms. They can be classified into different types based on their characteristics: - Pseudocysts: Pseudocysts are the most common type of pancreas cysts. They are typically formed as a complication of acute or chronic pancreatitis, which is inflammation of the pancreas. Pseudocysts are not lined by true epithelial cells and are filled with fluid, pancreatic enzymes, and tissue debris. - Serous Cysts: These cysts are typically small and filled with clear, watery fluid. They are usually benign and not associated with pancreatitis.Mucinous Cysts: Mucinous cysts are less common but may have a higher potential for malignancy. They are filled with thick, sticky fluid containing mucus. - Intraductal Papillary Mucinous Neoplasms (IPMNs): IPMNs are a type of mucinous cyst that grows within the main pancreatic duct or its branches. Some IPMNs have a potential for developing into pancreatic cancer. It's essential to differentiate between benign pancreas cysts and cystic tumors that have the potential to become cancerous. This is usually done through imaging tests and, in some cases, fine-needle aspiration (FNA) to analyze the cyst fluid for signs of malignancy. Most pancreas cysts do not require treatment if they are small, benign, and not causing any symptoms. However, larger cysts, those causing symptoms, or those with a potential for malignancy may require close monitoring or medical intervention, as discussed in the previous response. The approach to managing pancreas cysts depends on their type, size, location, and the patient's overall health. Always consult a healthcare professional for proper evaluation and management of pancreas cysts. Diagnosing Pancreas Cysts: - Imaging tests: Pancreas cysts are often detected through imaging tests, such as ultrasound, CT scan, or MRI. These tests can help visualize the size, location, and characteristics of the cyst. - Endoscopic ultrasound (EUS): This procedure involves inserting a small ultrasound probe through the mouth into the stomach to get a close-up view of the pancreas and surrounding structures. - Fine-needle aspiration (FNA): If the cyst looks suspicious, the doctor may perform FNA during EUS to collect a sample of the fluid for analysis. This helps to differentiate between benign and potentially cancerous cysts. Treating Pancreas Cysts: The treatment of pancreas cysts depends on various factors, including the size, location, type of cyst, and the patient's overall health. Not all cysts require treatment, and some may be monitored for changes over time. - Observation: If the cyst is small, doesn't cause symptoms, and appears benign, the doctor may recommend monitoring it through regular imaging tests. - Drainage: For larger cysts causing symptoms or complications (e.g., infection), the doctor may drain the fluid using EUS-guided aspiration. This can help relieve symptoms and prevent further issues. - Surgery: In certain cases, especially if the cyst is large, causing severe symptoms, or suspicious for malignancy, surgery may be necessary to remove the cyst or part of the pancreas. - Other treatments: Rarely, certain types of pancreas cysts may require additional treatments, such as alcohol ablation (injecting alcohol into the cyst to induce scarring) or prescription medications. It's important to remember that the treatment plan will be tailored to each individual's specific situation, and only a qualified healthcare professional can provide appropriate advice and care. If you have concerns about pancreas cysts or any other health condition, please seek medical attention promptly.

Metastatic Colorectal cancer

Metastatic colorectal cancer occurs when cancer originating in the colon or rectum spreads to other organs. It is an advanced stage of the disease and can cause various symptoms. Treatment options depend on the extent of metastasis and may include surgery, chemotherapy, targeted therapies, and immunotherapy. While it is generally not curable, advancements in treatment have improved outcomes and can help extend survival and manage symptoms. Regular monitoring and ongoing treatment are important for managing metastatic colorectal cancer.

Pancreatic neuroendocrine tumors (PNETs) are rare tumors that develop in the hormone-producing cells of the pancreas. They can be benign or malignant and have different growth patterns. Symptoms may include abdominal pain and hormonal imbalances. Diagnosis involves imaging tests and blood tests, and treatment options depend on the tumor type and stage. Management may involve surgery, targeted therapies, or chemotherapy. Regular monitoring is important for PNETs to track their growth and control symptoms.

Contact us

Contact Us

Hepato-Pancreato-Biliary Surgery
Gordon & Leslie Diamond Health Care Centre

5th Floor, 2775 Laurel Street

Vancouver, BC V5Z 1M9

Dr. Michael Bleszynski

Phone: 604-875-4459

Fax: 604-675-3973

Secretary: Abby

Room #: 2B

Working hours: 

Mon–Fri: 9:00 am to 4:00 pm
Sat–Sun: Closed

Dr. Stephanie Chartier-Plante

Phone: 604-875-8232

Fax: 604-875-4185

Secretary: Jessica

Room #: 2D

Working hours:

Mon–Fri: 9:00 am to 4:00 pm
Sat–Sun: Closed

Dr. Peter Kim

Phone: 604-675-3650

Fax: 604-675-3655

Secretary: Ellie & Glenn

Room #: 2G

Working hours:

Mon–Fri: 9:00 am to 4:00 pm
Sat–Sun: Closed

Dr. Graziano Oldani

Phone: 604-675-3650

Fax: 604-675-3655

Secretary: Ellie & Glenn

Room #: 2G

Working hours:

Mon–Fri: 9:00 am to 4:00 pm
Sat–Sun: Closed

Dr. Maja Segedi

Phone: 604-875-8232

Fax: 604-875-4185

Secretary: Jessica

Room #: 2D

Working hours:

Mon–Fri: 9:00 am to 4:00 pm
Sat–Sun: Closed

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