“…Realizing that cure may not be an achievable goal, especially in patients with advanced GBC, several Indian groups are concentrating on the etiopathogenesis and primary prevention of GBC. The Varanasi group has evaluated the role of bacteria in bile, erythrocyte membrane fatty acids, chronic typhoid carriage, heavy metals,, pesticides, diet,, micronutrients, hormonal factors, cytochrome P‐450 expression, and trace elements in the causation of GBC. Indian groups have also been studying alterations in bile composition in patients with GBC .…”