Clinicians

PHOTOS: Pancreatic Cancer Awareness Day, 2014

by Columbia Surgery on November 24, 2014

{ 0 comments }

Pancreatic Cancer: Risk Factors (Other Than Family History)

by Columbia Surgery on November 20, 2014

There is still a great deal that we do not understand about the cause and effect of risk factors and the development of pancreatic cancer.

It is important to remember that pancreatic cancer may also be due to a unique combination of environmental and inherited factors.  Currently, the role of pancreatic screening for moderate-risk patients, such as patients with diabetes mellitus, obesity, or smokers, is less clear and warrants further studies to justify screening for these patients.

AA040917

▪   Cigarette smoking is an important risk factor for the development of pancreatic cancer. Between 20-30% of pancreatic cancer cases are thought to be attributable to smoking. Smokers seem to have a dose-dependent risk but if someone has quit smoking for at least 10 years, the rate of pancreatic cancer may recede to that of individuals who have never smoked. In patients with a family history of pancreatic cancer, smoking increases the risk of developing pancreatic cancer and may cause the pancreatic cancer to develop earlier. Secondhand smoke is not thought to be associated with a higher risk.

▪   Diabetes mellitus (type II) has been shown to be associated with a two-fold higher risk for pancreatic cancer. However, the causality between diabetes and pancreatic cancer is still controversial. There is evidence on both sides for one causing the other: diabetes mellitus predisposes a patient to pancreatic cancer; and pancreatic cancer itself has been associated with glucose intolerance and diabetes. Screening for pancreatic cancer may be considered in a patient newly diagnosed with diabetes who is thin, has no other risk factors for diabetes, and has a family history of pancreatic cancer.

▪   Chronic pancreatitis is associated with a higher risk of developing pancreatic cancer.

dv1554016

▪   Obesity may be associated with a near two-fold higher risk of developing pancreatic cancer.

▪   Diet and its relationship to the development of pancreatic cancer has been conflicted. Certain published medical articles have linked diets rich in fat, with a high level of meat, and/or with processed meat and high soda beverage consumption to a higher rate of pancreatic cancer. Moderate intake of alcohol appears relatively safe, but in recent studies the excessive and prolonged drinking of alcohol has been linked to an increased likelihood of pancreatic cancer.

Continued research efforts are needed to identify patients with nonhereditary risk factors who would benefit from screening for pancreatic cancer.

For individuals from families at high risk of pancreatic cancer, interested patients may wish to participate in family cancer registries or ongoing research studies aimed at identifying genetic factors and new screening methods. Please visit the Muzzi Mirza Pancreatic Cancer Prevention and Genetics Program to learn more about the clinical trials and research studies.

 

Fay Kastrinos, MD
Fay Kastrinos, MD (Profile)

Dr. Fay Kastrinos, director of the Muzzi Mirza Pancreatic Cancer Prevention and Genetics Program, recently asked readers to send her questions about the role of genetics and family history in pancreatic cancer. What follows is the last in a three-part series of the most popular questions with Dr. Kastrinos’ answers.

 

 

 

{ 0 comments }

Interview with Dr. Frank Gress, Clinical Chief, Division of Digestive Diseases NewYork-Presbyterian Hospital/Columbia University Medical Center, New York, NY.

November 13, 2014

TweetQ: What is your role at the Pancreas Center? FG: I am an interventional Gastroenterologist. I work closely with the Pancreas Center team. I perform ERCP and Endoscopic procedures that assist with the diagnosis and treatment of pancreatic diseases. Q: Why should I come to the Pancreas Center over other centers? FG: Our center provides […]

Read the full article →

Internationally Renowned Heart Surgeon Dr. Michael Borger Joins NewYork-Presbyterian/Columbia University Medical Center

September 4, 2014

Tweet We are excited that Michael Borger, MD, PhD, has been appointed to the faculty of the Department of Surgery at Columbia University’s College of Physicians and Surgeons, and director of the department’s Aortic Program and Cardiovascular Institute! Here’s the CUMC/NYPH Press Release: Internationally Renowned Heart Surgeon Dr. Michael Borger Joins NewYork-Presbyterian/Columbia University Medical Center […]

Read the full article →

Cytoreduction Surgery and Heated Intraperitoneal Chemotherapy

June 1, 2014

TweetOffering long-term survival for patients with cancers of the abdominal lining Diagnosis of cancer that has spread to the abdominal wall lining (peritoneum) is typically considered a lethal diagnosis. But at NewYork-Presbyterian/Columbia University Medical Center, many patients with these advanced cancers can expect long-term survival, thanks to refined surgical approaches and intra-abdominal chemotherapy. According to […]

Read the full article →

Surgery Research Competition

June 1, 2014

TweetThe 23rd Surgery Research Competition was held May 22, 2014 at the NewYork-Presbyterian/Columbia campus. According to Henry M. Spotnitz, MD, George H. Humphreys II Professor of Surgery, “The annual Surgical Research Competition demonstrates the enthusiasm and scientific acumen of young investigators determined to push back the frontiers of research. Their work indicates that reduced federal […]

Read the full article →

Alcohol Abuse And Acute Pancreatitis

April 24, 2014

TweetIf I were to ask you what health risks are associated with excessive drinking, what would you say? Cirrhosis of the liver? Heart disease? A weakened immune system? You’d be correct—those are all health risks associated with excessive drinking. But another common though less talked about problem is pancreatitis. Pancreatitis is a condition in which […]

Read the full article →

Did the Fukushima Nuclear Disaster increase my chances of getting thyroid cancer?

April 22, 2014

TweetIt’s Oral, Head & Neck Cancer Awareness Week, so we’re revisiting this Q&A with Dr. McConnell, in which he explains why the Fukushima Nuclear Disaster is less likely have long term cancer implications for the surrounding area than did the Chernobyl disaster. The earthquake and tsunami in Japan that occurred in March 2011 not only […]

Read the full article →

Third Annual Peter D. Stevens Course on Innovations in Digestive Care

March 11, 2014

TweetAs patients demand greater access to interventional and minimally invasive digestive care treatments, clinicians must be knowledgeable on the newest technologies and innovations. These are the market forces of healthcare at work. – Dr. Michel Kahaleh. NewYork-Presbyterian, Columbia University College of Physicians and Surgeons, and Weill Cornell Medical College are pleased to extend an invitation […]

Read the full article →

Shanta Modak, PhD, Inducted as Fellow to National Academy of Inventors

February 28, 2014

TweetCongratulations to Shanta Modak, PhD, a research scientist at Columbia University Medical Center, who was inducted as a fellow to the National Academy of Inventors for her work to develop infection-resistant medical devices. In collaboration with Professors of Surgery Henry M. Spotnitz, MD, and Mark A. Hardy, MD, Dr. Modak developed a new formulation in […]

Read the full article →