Gastrointestinal cancer club delhi india, Dr.Ajay K.Sachdev delhi based Dept. of Gastrointestinal Surgeon serior gastro intestinal surgeonconsultant Surgery G.I. Surgeon G I Surgery Radiotherapy,Chemotherapy, G.I Cancers Advanced Hepatobiliary, Pancreatic, Esophageal,Intestinal,Colorectal surgeries and G.I. Oncoogy cancers of abdominal organs Gastroenterology IASG CANCERS OF ABDOMINAL ORGANSEXPERIENCED G.I. SURGEON

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Localized disease :-

-	Post operative treatment
-	Adjuvant chemotherapy - MS 19.7 months. Chemoradiotherapy may have deleterious effects.
-	5 Fu with Folinic acid

Unresectable or Metastatic

-	Index regimen was 5 Fu based.
-	Gemcitabine weekly regimen is superior with 2 year survival of 18% compared to earlier 2 %.
-	Addition of Targeted (Anti EGFR) therapy further improves survival by 7 %.

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Surgery remains the main modality of treatment and only hope of cure.

Chemotherapy is usually administered (With or without radiotherapy) after surgery or if the disease has spread beyond the confines of pancreas. The drug administered is Gemcitabine. The addition of a targeted molecule erlotinib (Tarceva) improves the survival further.