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Pancreatic Cancer

Discover expert pancreatic cancer care with Dr. Rishi Chadha at GastroDoxs. Drawing on over a decade of GI oncology experience, Dr. Chadha offers personalized treatment plans-from diagnosis to minimally invasive procedures'supported by nutrition guidance, advanced therapies, and compassionate, patient-focused communication.

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Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Pancreatic Cancer?

Pancreatic cancer starts when abnormal cells grow in the pancreas. The pancreas helps digest food and controls blood sugar through insulin. As the tumor grows, it can block these functions, leading to pain, unexplained weight loss, or yellowing of the skin and eyes (jaundice). Early detection improves treatment results and survival rates.

Common Causes and Risk Factors

  • Age over 60
  • Smoking habits
  • Obesity or type 2 diabetes
  • Family history of pancreatic cancer
  • Long-term inflammation of the pancreas (pancreatitis)
  • Chronic heavy alcohol use

Tip: In Houston's climate, staying active, eating a balanced diet, and not smoking may help lower your risk.

Signs and Symptoms

  • Pain in the upper abdomen or radiating to the back
  • Unintentional weight loss
  • Loss of appetite
  • Yellowing of skin and eyes (jaundice)
  • New-onset or sudden worsening of diabetes

If you notice any of these signs, consult a specialist as soon as possible.

How Dr. Rishi Chadha Diagnoses Pancreatic Cancer

At GastroDoxs in Houston, Dr. Rishi Chadha uses a step-by-step plan:

1. Medical History and Physical Exam

Dr. Chadha reviews your personal and family history, symptoms, risk factors (like smoking or pancreatitis), and performs a thorough abdominal exam.

2. Blood Tests

Laboratory studies check pancreatic enzymes (amylase/lipase), liver function, bilirubin levels and tumor markers (CA 19-9) to screen for dysfunction or malignancy.

3. Cross-Sectional Imaging

  • CT scan or MRI of the abdomen to visualize the pancreas, detect masses, assess tumor size and involvement of surrounding vessels or organs.

4. Endoscopic Ultrasound (EUS) with Biopsy

A thin endoscope with high-resolution ultrasound probes is guided into the stomach/duodenum to obtain precise images and tissue samples. Biopsy specimens confirm cancer and help determine its stage.

Once the diagnosis and stage are confirmed, Dr. Chadha tailors a personalized treatment plan'ranging from surgical consultation to chemotherapy, targeted therapy or minimally invasive procedures.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs with Dr. Rishi Chadha

1. Lifestyle and Diet Support

  • Small, easy-to-digest meals
  • High-protein, high-fat options for energy
  • Low-sugar foods if you have diabetes
  • Staying hydrated and taking recommended vitamins
  • Personalized guidance from our Houston-based dietitian

2. Medications

  • Pain relievers to manage discomfort
  • Anti-nausea drugs to control treatment side effects
  • Digestive enzyme pills to support pancreatic function
  • Targeted chemotherapy based on tumor characteristics

3. Minimally Invasive and Advanced Procedures

  • Laparoscopic biopsy or tumor removal for precise intervention
  • Endoscopic stent placement to relieve bile duct blockages
  • Radiofrequency ablation to shrink small pancreatic tumors
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What causes pancreatic cancer?

Common risks include smoking, family history, and chronic inflammation of the pancreas.

Can a healthy diet improve survival?

Good nutrition supports treatment and helps your body stay strong, but it cannot cure the cancer alone.

How is the stage of cancer determined?

Staging relies on imaging (CT, MRI) and biopsy results. Stage 4 means the cancer has spread beyond the pancreas.

What's the survival rate for pancreatic cancer?

Survival varies by stage. Early-stage detection has a better outlook. Dr. Chadha will discuss your individual prognosis.

Will I need surgery?

Surgery depends on tumor size, location, and overall health. Some patients may benefit more from other treatments.

What is an endoscopic ultrasound?

An endoscopic ultrasound (EUS) uses a thin, flexible tube with a camera and ultrasound probe to examine the pancreas and obtain tissue samples.

Is chemotherapy hard to tolerate?

Tolerability varies by drug and patient. Dr. Chadha tailors the regimen and adjusts doses to manage side effects.

Are clinical trials offered in Houston?

Yes. Dr. Chadha can refer you to local clinical trials exploring new treatment options.

How often will I see the doctor?

During active treatment, visits are typically every 4-6 weeks. Follow-up appointments become less frequent once therapy is complete.

Can I manage pain at home?

Yes. Dr. Chadha provides pain medications and lifestyle recommendations to help you remain as comfortable as possible.

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